Conditions that increase a woman's risk for a postpartum hemorrhage

Conditions that listen the uterus beyond average capacity

• multiple gestation

• Polyhydramnios (Excessive amount of amniotic fluid)

• A large baby (>9 lb)

• Presence of uterine myomas (fibroid tumors

Conditions that would have caused cervical or uterine lacerations

• an operative birth

• a rapid birth

Conditions with varied placental site or attachment

• Placental previa

• Placenta accreta

• Premature separation of the placenta

• Retained placental fragments

Conditions that leave the uterus unable to contract readily

• Deep anesthesia or analgesia

• Labor initiated or assisted with Oxytocin agent

• High parity or maternal age over 35 years of age

• Previous uterine surgery

• Prolonged or difficult labor

• Chorioamniontis or endometritis

• Secondary maternal illness such as anemia

• Prior history of postpartum hemorrhage

• Prolonged us of magnesium sulfate or other tocolytic therapy

Conditions that lead to inadequate blood coagulation

• Fetal death

• Disseminated Intravascular Coagulation (DIC)