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In patient at risk of major hemorrhage, consider preemptive internal iliac balloon occlusion to minimise perioperative blood loss. refl.in/b0

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Two large bore intravenous cannulae for rapid volume resuscitation.

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Consider inserting an arterial line following induction to monitor blood pressure in patients considered to be at risk of significant blood loss.

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If a hysterectomy is considered highly likely, a midline incision will be chosen.

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At increased risk of significant intraoperative haemorrhage due to the nature of the adherant placenta.

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If having a caesarean section, ensure cross matched blood is available. Minimum of 4 units.

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Posterior accreta is as particular risk of hemorrhage due to the presence of large posterior veins. #ref

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