- Pulmonary embolism  
- (Leading cause of direct maternal deaths during or up to 6 weeks postpartum in the UK) 
 
 
- Pre eclampsia  
 
- Amniotic fluid embolism  
 
- Haemorrhage – Including concealed e.g abruption, praevia, uterine rupture 
- (Leading cause of maternal death worldwide) 
 
 
- Cardiac disease  
- (Leading cause of indirect maternal deaths in UK)
 
 
- Sepsis  
 
- Drug toxicity/overdose  
- (Suicide is the leading cause of direct deaths occurring within a year of pregnancy in UK) 
 
 
On examination you find she is cool peripherally with increased capillary refill time. She has a tense, hard abdomen. A venous blood gas reveals Lactate 3.1, H+ 59, Hb 63.