Obstetric haemorrhage

Obstetric haemorrhage remains a significant cause of maternal morbidity and mortality. It is the leading obstetric cause for admission to intensive care units. Knowledge of risk factors and early recognition of haemorrhage enables rapid activation of a coordinated multidisciplinary team response. Clear unit protocols for the management of massive haemorrhage that are reinforced by team drills help to increase awareness in the multidisciplinary team, improve performance and thus can improve patient outcome. Pharmacological agents and surgical manoeuvres are reviewed in the article, as are blood conservation techniques.