Abstract
The chief causes of post part urn hemorrhage are lacerations of the genital tract, retained placental tissue and uterine atony. As post partum hemorrhage still ranks high as a cause of maternal mortality and morbidity it is obvious that the method of prevention of this complication has not as yet been found for all eases. Improvement in technique has helped reduce the incidence of hemorrhage as has the routine employment of the oxytocic drugs pitocin and argotrate. Still, however, we continue to encounter it. | The introduction of the Crede method of expulsion of the placenta helped reduce the maternal mortality and morbidity by decreasing the number of manual removals of the placenta and delivery by traction on the cord but it frequently was attended by an increase in the amount of blood lost. This increase in blood loss resulted from interference with the normal mechanism of placental separation.