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(1) neonates at the limit of viability, (2) neonates with congenital anomalies considered to be lethal, and (3) neonates with serious medical or surgical conditions not responding to maximal therapy or for whom continued treatment may prolong suffering.If a decision is made for palliative care after the delivery of the infant, it should not be considered any differently than an advance plan of care for delivery of a healthy infant.This causes release of prostaglandins which can kickstart the labour process.If the placenta is not supplying adequate blood to the fetus the body directs prioritises brain development at the expense of the body.This relationship raises numerous complex ethical questions about the ‘best interests’ of fetal and maternal health.

This method may not be reliable if a woman is unsure about when her last menstrual period was.

Advances in technology, as well as therapeutic modalities, have led to increasing survival of premature infants, better prenatal identification of congenital anomalies, and overall improvements in morbidity and mortality.

The preterm birthrate has increased from 12% in 2002 to 12.3% in 2003, while fetal mortality rate remains higher than overall neonatal rate (6.4/1000 versus 4.7/1000 live births).

The most common cause of PPH is uterine atony, however retained placenta and vaginal lacerations also account for a significant proportion of PPH.

Uterine atony describes a state in which the uterus can no longer effectively contract.

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