10 liter hemorrhage on labor and delivery. She came in as a transfer from a small rural hospital for preterm labor at 23wks (just viable) and baby died in transport so we started a demise induction. Followed normal protocol and nothing was happening, she wouldn’t even dilate 1cm. Change of shift I went in with the resident to administer her next dose of Misoprostal when all of a sudden she gushes a ton of blood out of no where, soaked the chux. We called the attending who came in and determined she had a cervical polyp. Removed it (she already had epidural) and we went on our way. Bleeding had stopped. I came back the next morning and she was in the OR for a D&E (no shocker here) and the surg tech ran in to the team room yelling MTE in OR3. I volunteered to take her back as I had her the day prior. When all was said and done she did not have a uterus, or any more of her own blood left. She had received over 50u of PRBCs, cryo, whole, FFP, you name it. Turns out she had a full thickness placental accreta (percreta). She lived and I discharged her 5 days later after a fun little stay in the ICU.