Antenatally, these include anaemia, multi-fibroid uterus, previous PPH, previous CD, placenta praevia, pre-eclampsia, parity [greater than or equal to] 5, multiple pregnancies and antepartum haemorrhage. Intrapartum factors include prolonged first stage of labour, prolonged second stage of labour, chorioamnionitis and abruptio placentae.
A case of OH was established if a record indicated a diagnosis of antepartum haemorrhage (APH) (unspecified), abruptio placentae, ruptured uterus, or retained placenta, bleeding after trauma to the lower genital tract, symptomatic placenta praevia, and PPH.
At the time of presentation most of the reported anaemic mothers 158(51.80%) were in the third trimester of pregnancy, since the iron demand reaches 6.6 mg/day in this period and during this gestational period frequency of antepartum haemorrhage was higher.
Several days later, she experienced a small antepartum haemorrhage with irregular contractions, and after an unmonitored labour a 1 820 g, very pale and oedematous male infant was delivered vaginally with Apgar scores of 1/1/1.