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Case 18

Severe post partum haemorrhage

Richard Edwards

A 37-year-old female, para 1+0, developed severe post-partum haemorrhage after forceps delivery at term. Vaginal packs failed to control the bleeding and abdominal hysterectomy was performed within 24 hours. Despite surgery, bleeding continued and over 30 units of blood were transfused over the next 8 hours.

As the interventional radiologist you are contacted but her condition remains unstable and the Shock Team consider transfer to your dedicated angio unit on another site hazardous. What would you do?