1. Major Obstetric Haemorrhage

2. Background: Obstetric haemorrhage

3. Background: Deaths from MOH UK and Ireland since 2010

4. Women who survived MOH

5. Types of haemorrhage:

6. Placenta accreta: n=13

7. Diagnosis

8. Risk factors for morbid adherence

9. Planning for delivery

10. Urgent delivery

11. Timing of Hysterectomy

12. Genital tract trauma: n=11

13. Good recognition and prompt escalation

14. Delayed recognition and therefore repair of angle tears (n=4)

15. Extent of damage after vaginal delivery not recognised

16. Key messages: Genital tract trauma

17. Other causes of MOH

18. Early recognition of Sepsis

19. Other concerns

20. Classification of care

21. Lancet Maternal Health Series study group 2016

22. Lancet Maternal Health Series study group 2016

23. Local reviews and Reflections from those involved