Haemorraghe at or following Caesarean Section

Background: 35% of maternal deaths due to bleeding at C/S in 2012 in South Africa Audit Study: PPH at or post C/S. Objective: analyze deficiencies. Interventions: preventing PPH. Method: Prospective audit Cases of PPH at C/S Standard template Results: January to November 2013 42 cases of PPH 6 maternal deaths Analysis: Cx > 7 cm – lower segment tear 8 Cx < 7 cm – 3 Management of tear Repaired 4 Failed haemostasis 4 Elective C/S 11 Uterine atony: 6 Adhesions: 4 Abruptio Placentae: 5 failed IOL, 1 C/S 1 previous C/S x 2 Mortality: Abruptio placenta: irreversible hypovolaemic shock Ruptured uterus C/S for CPD, PPH…