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Postpartum hemorrhage is a major cause of maternal morbidity and mortality. Though the American College of Obstetricians and Gynecologists and quality improvement initiatives recommend the use of a quantitative measurement of blood loss, it is not known if the quantitative measurement compared to visual estimation of blood loss improves maternal outcomes. To compare rates of red blood cell transfusion between a quantitative measurement and visual estimation of blood loss. This was a retrospective cohort study of all women who underwent