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Gynaecology & Obstetrics FMGE 2019 1eba8abc

After a normal delivery in a 27-year-old female, placenta is still attached with uterus. Most common complication which can occur due to forceful traction of cord?

A
Hemorrhage
B
Uterine inversion
C
Uterine rupture
D
Placenta retraction
High-Yield Explanation
Most common complication which can occur due to forceful traction of cord is Uterine inversion Other causes of Uterine inversion are: Fundal implantation of placenta Uterine atony Cord traction applied before placental separation Abnormally adhered placentation e.g. placenta accreta. Management: IV access Fluids, blood Try and reposit ASAP Manual reposition Hydrostatic reposition: O' SULLIVAN If it fails, surgical interventions like Haultain's surgery and Huntington procedure may be done

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