Known Low-lying Anterior Placenta in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11440
SMLE Question #11440
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 38-year-old G4P3 with a known low-lying anterior placenta delivers vaginally at 39 weeks. Shortly after placental delivery, she develops brisk vaginal bleeding. The uterus is firm and well contracted, and fundal massage does not reduce the bleeding. No uterine inversion is seen. A limited bedside inspection shows no obvious cervical or vaginal lacerations. Which of the following is the most likely cause of this postpartum hemorrhage?
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