Page 1 of 1: OBSTETRICS-DELIVERY

jayanta · Credits: 34873 My Scrapbook My Reading List 45 Books

A 26YEAR OLD MULIGRAVIDA DECIDES ON A HOME DELIVERY.
IMMEDIATELY AFTER DELIVERY OF A 4.2 Kg. BABY,THE PATIENT BLED MASSIVDELY.
SHE IS BROUGHT TO NEREST HEALTH CENTRE IN SHOCK.
AFTER 3 UNITS OF BLOOD TRANSFUSION,THE PATIENT"S B.P. REURNED TO SUBSTANTIAL LEVEL.
THE MOST COMMON CAUSE OF THIS BLEEDING IS:
1.CERVICAL LACERATION.
2.HAEMOPHILIA.
3.DIC.
4.ATONICITY OF THE UTERUS.
5.RETAINED PLACENTAL TISSUE.
MY ANSWER IS [3] ,
BUT THE ANSWER GIVEN IS [4].
SO,WHAT SHOULD BE THE ANSWER ,MY FRIENDS

THANKX ALOT.
REGARDS.

drsmita_s · Credits: 18609 My Scrapbook

delivery of a large fetus can be a cause of atonicity of uterus causing post partum haemorrhage , as is the case in this patient (baby weight 4.2 kg).
so, i think the answer is option 4).

note: atonic uterus is the most common cause of PPH.

jayanta · Credits: 34873 My Scrapbook My Reading List 45 Books

as usual the response is great.
thankx DEAR SMITA.
REGARDS.

Puppo · Credits: 4749 My Scrapbook

1. The most common cause of post partum hemorrhage ( PPH ) is utrine atony 50 %

2. The second most common cause of PPH is Genital Laceration 20 %

3. The third most common cause of PPH is Retained Placenta 10 %

jayanta · Credits: 34873 My Scrapbook My Reading List 45 Books

VERY GOOD INFORMATION PUPPO.
REGARDS.

DrChitra · Credits: 421 My Scrapbook

i agree with smita. moreover, the Q does not contain any clue to the option 3 i.e. DIC eg. PIH.

jayanta · Credits: 34873 My Scrapbook My Reading List 45 Books

U R RIGHT.
REGARDS.

drsadianikhat · Credits: 158 My Scrapbook

hi
since the baby was lrage size,the cause is most likely to be atonicity,esp since the pt. in ques. is a multogravida

drsadianikhat · Credits: 158 My Scrapbook

hi
since the baby was large size,the cause is most likely to be atonicity,esp since the pt. in ques. is a multogravida

jayanta · Credits: 34873 My Scrapbook My Reading List 45 Books

YA.
REGARDS.

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