A 30-year-old G2P1 undergoes emergency cesarean section for fetal distress. Estimated blood loss at surgery is 1200 mL. According to standard definitions used in obstetric practice, this amount of blood loss after cesarean delivery is classified as:

• A Normal blood loss, not meeting criteria for PPH
• B Primary postpartum hemorrhage ✓
• C Secondary postpartum hemorrhage
• D Minor postpartum hemorrhage

Explanation

Primary PPH is defined as blood loss of 500 mL or more within 24 hours of delivery. After cesarean section, the threshold is 1000 mL or more. A loss of 1200 mL at cesarean therefore meets the definition of primary PPH. Secondary PPH occurs between 24 hours and 12 weeks postpartum. There is no category called minor PPH in standard definitions.

Reference: Dutta's Textbook of Obstetrics, 9th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.