Cause of secondary PPH is: (A) Atonic uterus, (B) Retained placental bits, (C) Ruptured uterus, (D) Cervical laceration
Answer is B. Causes of secondary PPH: Retained bits of cotyledon or membranes Infection and separation of slough over a deep cervicovaginal laceration Endometritis Hemorrhage from cesarean section wound Withdrawal bleeding following estrogen therapy for suppression of lactation Ref: Dutta Obs 9e pg 392.