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Gynaecology & Obstetrics FMGE 2019 09641abe

A 34 years old lady with 4 children, after 5th normal vaginal delivery, excessive bleeding occurs after placenta is removed. What is the cause for this?

A
Estrogen
B
Progesterone
C
FSH and LH
D
PPH
High-Yield Explanation
In above case, excessive bleeding after placenta removal is due to PPH (postpaum hemorrhage) due to uterine atonicity Causes of PPH: 4 T's 1. Poor tone 2. Trauma 3. Thrombin deficiency 4. Tissues (retained)

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