Most common cause of secondary PPH is –
Correct Answer: Retained products of conception
Description: Ans. is 'b' i.e., Retained products of conception Secondary PPHo Bleeding usually occurs between 8th to 14th day of deliveryo Causes of late PPH :# Retained bits of cotyledon or membranes (M.C.)# Infection and separation of slough over a deep cervico - vaginal laceration.# Endometritis and subinvolution of the placental site.o Management:# Replacement of blood loss# USG to rule out retained products of conception.# Dilatation and curettage to remove retained products.# Laceration with bleeding vessel - Hemostatic sutures.# Secondary hemorrhage following caesarean section - Laparotomy with SOS Internal iliac artery ligation sos hysterectomy.
Category:
Gynaecology & Obstetrics
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