This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
[{'content': 'A pregnant lady went into shock immediately after normal delivery; the likely cause is ________ \nSelect and explain. \nA. Amniotic fluid embolism, B. Post paum hemorrhage, C. Uterine inversion, D. Eclampsia', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Uterine inversion is the likely cause of shock immediately after delivery. Uterine inversion: A rare cause of postpaum collapse; acute in onset and occurs immediately after delivery. If the question would have been "shock after delivery" the answer would be PPH which is more common than uterine inversion. Causes: Mismanagement of 3rd stage of labor: Delivering a yet to be seperated placenta(Creede&;s method): Most common Spontaneous Placenta accreta Features: Shock immediately after delivery, degree of shock out of propoion to amount of bleeding Shock is both neurogenic and hemorrhagic Per abdominal examination: Fundus of uterus is felt to be absent. Management: vaginal operations Abdominal operations Hydrostatic method Kustner Huntingtons O sullivan Spinelli Haultain Oguch Amniotics fluid embolism causes shock but not immediately. . Ref: Williams Obstetrics 24th edition Pgno: 787', 'role': 'assistant'}]