n CME : Your SA Journal of CPD - Prevention and management of blood loss at caesarean section

Volume 30, Issue 4
  • ISSN : 0256-2170



Bleeding associated with caesarean section (CS) was the most common causal subcategory of maternal deaths from obstetric haemorrhage in South Africa in 2008 - 2010, accounting for 180 (26.2%) of the 688 maternal deaths due to haemorrhage. It has increased as a cause of death compared with previous triennia, and this is a cause of great concern. Related morbidities included obstructed labour, previous CS, abruptio placentae and placenta praevia. The majority of these deaths were clearly avoidable. The deaths occurred at all levels of public hospital and some at private hospitals, with the largest numbers at district hospitals, where the majority of CSs in SA occur.

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