Abstract
Introduction: Major obstetric haemorrhage may be defined as blood loss > 1.5 L. A subgroup of women suffer more extreme haemorrhage, with associated morbidity and mortality. Placenta accreta spectrum (PAS) may result in catastrophic haemorrhage and/or caesarean hysterectomy, posing a significant challenge for surgical and anaesthetic teams. With the UK rate of caesarean section now 30%, [1] Sultan P, Sultan E, Carvalho B. Regional anaesthesia for labour, operative vaginal delivery and caesarean delivery:a narrative review. Anaesthesia 2021. 76:136-47. Google Scholar the incidence of PAS is rising. Following several cases of massive haemorrhage associated with PAS in our tertiary unit, a multidisciplinary evaluation of the management of women with haemorrhage > 3 L and/or PAS over 3 years was undertaken.
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