A 34 years old lady with 4 children, after 5th normal vaginal delivery, excessive bleeding occurs after placenta is removed. What is the cause for this?: (A) Estrogen, (B) Progesterone, (C) FSH and LH, (D) PPH
Answer is D. In above case, excessive bleeding after placenta removal is due to PPH (postpaum hemorrhage) due to uterine atonicity Causes of PPH: 4 T's 1. Poor tone 2. Trauma 3. Thrombin deficiency 4. Tissues (retained)