1. COMPLICATIONS of PPH

2. Hypovolemic shock and organ failure: renal failure, stroke, myocardial infarction, postpartum hypopituitarism(sheehan syndrome)

3. Fluid overload (pulmonary edema, dilutional coagulopathy) Abdominal compartment syndrome Anemia

4. Transfusion-related complications, including severe electrolyte abnormalities (predominantly hyperkalemia and hypocalcemia)

5. Acute respiratory distress syndrome Anesthesia-related complications Sepsis, wound infection, pneumonia Venous thrombosis and embolism

6. Unplanned sterilization due to need for hysterectomy Asherman syndrome (related to curettage if performed for retained products of conception)

7. Thromboprophylaxis

8. In trauma patients, transfusion is an independent risk factor for development of thromboembolism.For this reason, all women who have been transfused for PPH should receive mechanical thromboprophylaxis

9. (graduated compression stockings or pneumatic compression device) as soon as feasible and continue thromboprophylaxis until discharge.Twelve to 24 hours after bleeding has been controlled, pharmacologic thromboprophylaxis should be added, providing coagulation tests are normal or close to normal.

10. Abdominalcompartment syndrome

11. Another rare,but life- threatening,complication is abdominal compartment syndrome(organ dysfuncation caused by intraabdominal hypertension)

12. The diagnosis should be considered in patients with a tensely distended abdomen and progressive oliguria who are developing multiorgan failure.