more than three times higher (59.4). 2
Postpartum hemorrhage (PPH) is a major
cause of maternal death in the southernmost provinces.2
There are several causes of PPH including atonic
uterus which results in uterine inertia from prolonged
labor.3 The direct cause of atonic uterus is anemia
which is associated with fatigue. Pregnant women
with anemia may succumb more quickly to any
subsequent blood loss.3 Pregnant women with very
severe anemia are a medical emergency due to the
risk of congestive heart failure and maternal death.4