Hi Scorpiomum
I don’t think a CS will lessen her chance of a post partum haemorrhage but it would tempt them to remove the uterus to stop the bleeding. I also think that considering not using the syntocinon Synto) as the baby is born could be a good idea. Synto works quickly once injected into the muscle and even quicker if injected into a vein. If your friend was willing she could have a cannula (needle) inserted into her arm or hand early in labour. The hospital probably does this anyway considering her past history of PPH. Then if she does bleed after the birth the synto could be injected directly into the vein.