Whilst the number of maternal deaths attributable to massive obstetric haemorrhage continues to fall, it is important not to become complacent. It can become life threatening in a very short space of time. The most recent death rate attributable directly to obstetric haemorrhage in the United Kingdom is 3.3/million maternities, the majority due to antepartum haemorrhage. If haemorrhage occurs antenatally not only are there consequences for the mother but also for the fetus. Recurrent antepartum haemorrhage is a condition which is often difficult to manage and the true significance of multiple minor episodes of bleeding may not be recognized. A multi-disciplinary team approach with good communication within the team is the key to successful management and good outcomes for these women and their babies. This article discusses three different cases of antepartum haemorrhage and their management.
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