30-year-old G2p2 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11597
SMLE Question #11597
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 30-year-old G2P2 delivers term twins vaginally. Ten minutes after placental delivery, she develops brisk vaginal bleeding soaking pads. Bimanual examination shows an enlarged uterus that feels soft and higher than expected. No cervical or vaginal lacerations are seen, and the placenta and membranes appear complete. What is the most likely cause of her postpartum hemorrhage?
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