A pregnant lady went into shock immediately after normal delivery; the likely cause is ________

Uterine inversion is the likely cause of shock immediately after delivery. Uterine inversion: A rare cause of postpaum collapse; acute in onset and occurs immediately after delivery. If the question would have been "shock after delivery" the answer would be PPH which is more common than uterine inversion. Causes: Mismanagement of 3rd stage of labor: Delivering a yet to be seperated placenta(Creede&;s method): Most common Spontaneous Placenta accreta Features: Shock immediately after delivery, degree of shock out of propoion to amount of bleeding Shock is both neurogenic and hemorrhagic Per abdominal examination: Fundus of uterus is felt to be absent. Management: vaginal operations Abdominal operations Hydrostatic method Kustner Huntingtons O sullivan Spinelli Haultain Oguch Amniotics fluid embolism causes shock but not immediately. . Ref: Williams Obstetrics 24th edition Pgno: 787