A 30-year-old G2P1 undergoes active management of the third stage of labour with 10 IU oxytocin IM. The placenta is delivered by controlled cord traction at 8 minutes. Estimated blood loss is 350 mL. According to the ACOG reVITALize definition, this is classified as:
- A Postpartum hemorrhage
- B Normal third stage ✓
- C Early primary PPH
- D Secondary PPH
Correct answer: B. Normal third stage
Explanation
ACOG reVITALize defines PPH as cumulative blood loss of 1000 mL or more, or blood loss accompanied by signs or symptoms of hypovolemia within 24 hours of delivery. Blood loss of 500 mL after vaginal delivery is no longer automatically classified as hemorrhage. This patient lost 350 mL, which is within normal limits for the third stage.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.