Defined as bleeding occurring 24 weeks of pregnancy and prior to birth of the baby. Any APH will increase the risk of PPH

• Obstetric

  Placenta previa

  Abruptio placentae

  Vasa previa

  Uterine rupture

• Non obstetric causes include cervicitis, cervical neoplasm, lower genital tract trauma or infection, vaginal bleeds, bleeding disorder

• Kleihauer-Betke test

• Apt test

<aside> 💡 Placenta accreta causes postpartum, not intrapartum, hemorrhage due to the inability to remove the placenta after fetal delivery.

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