Which of the following condition is the commonest cause of postpartum hemorrhage?

Which of the following condition is the commonest cause of postpartum hemorrhage? Correct Answer Atonicity of the uterus

Concept:-

Postpartum hemorrhage PPH:

  • It is excessive blood loss after delivery sufficient to affect the general condition of the mother as shown by tachycardia and hypotension.
  • The traditional definition, based on a bloodless ≥ 500ml from or within the reproductive tract after delivery, is difficult to estimate in clinical practice.
  • Late or secondary post-partum hemorrhage takes place up to 12 weeks after the delivery.
  • The major cause of the PPH is the atonic uterus followed by the retained placenta, uterine rupture, any blood condition, and infection.

Causes of PPH:

  • The atonic uterus is the main cause of PPH
  • Genital tract trauma
  • Third stage complications
  • Coagulation disorders

Explanation:

Atonic uterus:

  • Is the failure of myometrium at the placental site to contract and retract and compress torn blood vessels and control blood loss by living ligature action.

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