Major Placenta Previa with Assisted Vaginal Delivery and Primary Postpartum Hemorrhage

Abstract

An unbooked 20 year-old primigravida presented at 36 weeks gestation with severe antepartum hemorrhage due to major placenta previa in shock. She fell into labour during resuscitation prior to emergency caesarian section. She had outlet forceps delivery of a fresh still birth and developed primary postpartum hemorrhage. She was managed with uterotonics, anti-shock garment and uterine packing with blood transfusion and
antibiotics.