NOT a cause of post-paum hemorrhage in a retracted uterus: September 2012
Ans. D i.e. Atony of uterus An atonic uterus cannot compressed effectively due to imperfect contraction and retraction of the uterine musculature and bleeding continues So a retraced uterus rules out uterine atony as a cause of PPH Post paum hemorrhage MC cause of PPH: Atonic uterus (grand multipara, prolonged labor etc.) PPH is said to occur if: Blood loss is more than 500 cc Drugs used for PPH: -- Misoprostol, -- Ergometrine etc.
Vaginal tear
Cervical laceration
Retained placenta
Atony of uterus