Main findings
The algorithm for third stage abnormalities is led into from the Normal third stage management algorithm in chapter 3. It was subdivided into four interlinked algorithms: an approach to PPH after vaginal delivery, uterine atony, genital tract trauma and retained placenta/placental products. Key themes running through each algorithm were maternal assessment, monitoring and resuscitation, and treatment, all of which need to be intensified with worsening haemodynamic status.