Postpartum haemorrhage is a leading cause of maternal morbidity and mortality worldwide. A common aetiology is uterine atony, which can often be related to the intrapartum management of labour; but an increasingly common cause is abnormally adherent placentation, which is occurring more often due to rising caesarean rates. While intervention can increase the risk of postpartum haemorrhage, it also has its place in its prevention. Hopefully, a balance can be found to improve outcomes both in the short- and long-term.