![Page 1: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/1.jpg)
![Page 2: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/2.jpg)
![Page 3: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/3.jpg)
• Abruption• Placenta praevia• Vasa praevia• Trauma of birth-canal• Atony• Abnormal placentation• Inversion• Cervical cancer• Haemostatic disorders
![Page 4: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/4.jpg)
• AbruptionRevealed and concealed• Placenta praeviaLow lying, marginal and central• Adherent placentaPlacenta accreta, increta and percreta• Haemostatic disordersCoagulopathy, thrombocytopathy,
vasculopathy Inherited, acquiredGeneral, gender-specific
![Page 5: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/5.jpg)
![Page 6: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/6.jpg)
![Page 7: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/7.jpg)
![Page 8: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/8.jpg)
![Page 9: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/9.jpg)
![Page 10: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/10.jpg)
![Page 11: 2-3% frequency Increasing 3rd most common cause of maternal mortality Increases with parity Increases with age Increases with CS frequency](https://reader036.vdocuments.us/reader036/viewer/2022062413/5a4d1b307f8b9ab05999ac03/html5/thumbnails/11.jpg)
• Early US, regular US-follow-up• Detailed history taking to identify risk factors• Folic acid and Iron supplementation• Continuous risk assessment• Careful antenatal follow-up• Prophylactic measures (smoking and drug-use cessation, avoid prolonged labour, X-match, large bore iv.line, avoid hyperstimulation, atony prevention, active management of 3rd stage, careful check for retained placental tissues, haematological consultation)