Secondary post-partum haemorrhage: challenges in evidence-based causes and management

Remarkably, none of the current treatment options is based on any evidence. Suction evacuation of the uterus may be complicated by life-threatening complications and blood transfusion. There are a few guidelines, and probably no protocols. In this review, we highlight salient factors to take into consideration, and propose a locally adaptable flowchart, which may be of use to General Practice doctors, Community Midwives and Obstetricians.