A 24-year-old primigravida delivers vaginally. After placental delivery, the uterus is found to be well-contracted but bright red bleeding continues. On examination, a cervical laceration is identified. What is the most likely cause of this PPH?
- A Uterine atony
- B Genital tract trauma ✓
- C Retained placental tissue
- D Coagulopathy
Correct answer: B. Genital tract trauma
Explanation
Continued bright red bleeding with a well-contracted uterus suggests genital tract trauma (cervical or vaginal laceration) rather than atony. The 4 Ts of PPH are Tone (atony), Tissue (retained products), Trauma (lacerations), and Thrombin (coagulopathy).
Reference: Bailey and Love's Short Practice of Surgery, 28th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.