By The PPH Foundation

Postpartum haemorrhage (PPH) remains one of the leading causes of maternal death worldwide, claiming a life every seven minutes. While much attention is rightly placed on health workers, men also play a critical role in ensuring safe childbirth. Understanding the risks, warning signs, and immediate actions can mean the difference between life and death.

PPH occurs most often within the first 24 hours after delivery. Key signs include heavy vaginal bleeding, extreme weakness, dizziness, paleness, or fainting. Risk factors include prolonged labour, multiple births, high blood pressure, and previous experiences of PPH. For fathers, being aware of these signs and acting promptly is crucial.

Practical steps for men begin with active participation during the pregnancy journey. Attending antenatal visits helps them understand their partner’s health and any risk factors. Being prepared for emergencies by knowing whether the facility has blood available or an emergency kit ready can be lifesaving. Communication with health workers, asking the right questions, and advocating for timely care can further improve outcomes.

Emotional support is equally important. Men who remain calm and reassuring during labour help reduce stress, which can indirectly influence the mother’s recovery. Immediate recognition of bleeding and swift action, such as facilitating transfers to higher-level care when needed, directly saves lives.

Movements like Machozi ya Mwisho and Men in Maternity have demonstrated how men’s involvement spreads awareness and encourages other fathers to learn about PPH. Lawrence Omondi, from the Men in Maternity Movement, notes, “Being involved in my wife’s pregnancy taught me what to look out for. Every man should know the danger signs of PPH.” Prof Moses Obimbo adds, “Men are essential partners in maternal health. Their knowledge and readiness can be the difference between life and death for a mother.”

In short, men are not just supporters; they are lifesavers. Awareness, preparedness, and active participation in childbirth can dramatically reduce deaths from PPH. By learning, acting, and advocating, fathers become a critical part of safe motherhood, ensuring that mothers not only survive but thrive after delivery.

Sources:

• WHO, 2023: Postpartum Haemorrhage Fact Sheet
• Men in Maternity Movement, Kenya, 2025
• Machozi ya Mwisho Initiative interviews,2025