This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Complication of 3rd Stage of Labour, Subject name: Gynaecology & Obstetrics
[{'content': 'Atonic uterus is more common in: \nSelect and explain. \nA. Cesarean section, B. Multigravida, C. Primigravida, D. Breech delivery', 'role': 'user'}, {'content': "Answer: B \nExplanation: Ans. is b, i.e. MultigravidaRef. Dutta Obs. 7/e, p 411Friends, in the text question I have listed the predisposing factors for Atonic PPH. The list is long, but I remember I did not use any mnemonic for memorising it during my undergraduate and postgraduate exams. I memorized it by:Obstetric history which points towards PPH:Grand multiparaQ due to laxed abdomenH/o atonic PPHQ or adherant placentaExamination findings which point towards PPH:Obesity:Malnutrition and/or anemiaOverdistended uterus due to:- HydramniosQ- Multiple pregnancyQ- MacrosomiaQGynaecological disorders:- Fibroid uterus- Uterine malformationsFactors increasing the risk of PPH at the time of delivery:Precipitate laborProlonged laborInadvertent use of oxytocicsUse of general anaesthesiaMismanagement of third stage of laborRetained placental bits.As far as hypertension (Option 'a') is concerned.Remember: Hypertension can lead to Antepartum hemorrhage (abruptio placenta), but not PPH.", 'role': 'assistant'}]