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a systematic analysis making use of PRISMA tips. Methodological quality assessment carried out using modified Newcastle Ottawa scale. A total 29 pregnancies in 15 ladies and 2 gynecological patients were identified. Hefty menstrual bleeding (HM, the most frequent bleeding symptom, had been reported in 8/15 (53%) of women. HMB and post-partum hemorrhage (PPH) led to diagnosis of HPS in 5/17 (29%) ladies. Main PPH was reported in 12/27 (44%) of viable pregnancies; half were major PPH.