Aph, pph MCQ 5+

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• Causes of secondary postpartum hemorrhage are
  ক

  Infection

  খ

  Retained bits of placenta

  গ

  Uterine atony

  ঘ

  Following episiotomy

  ঙ

  Uterine tear
• Ante-partum haemorrhage
  ক

  Can lead to fetal demise

  খ

  Needs blood transfusion

  গ

  Is an important cause of maternal mortality

  ঘ

  Can be prevented by careful antenatal care

  ঙ

  Always due to raised blood pressure
• Post partum hemorrhage
  ক

  Is less likely if oxytocics are administered routinely in the third stage of labour

  খ

  Is common after both placenta praevia and abruptio placentae

  গ

  May require manual removal of the placenta

  ঘ

  Is defined as a blood loss of 1 litre

  ঙ

  Is primary if it occurs with in the first 12 hours
• Placenta praevia is commonly associated with
  ক

  Increased risk of congenital malformation

  খ

  Abnormal foetal presentation

  গ

  Prior caesarean section

  ঘ

  Previous manual removal of placenta

  ঙ

  Nulliparity
• Placenta previa is associated with
  ক

  Twin pregnancy

  খ

  Previous caesarean section

  গ

  Multiparity

  ঘ

  Breech presentation

  ঙ

  Obesity