Otherwise Uncomplicated Pregnancy in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16445
SMLE Question #16445
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
36-year-old woman (G4P3) at term is admitted in active labor with an otherwise uncomplicated pregnancy. She has a spontaneous vaginal delivery after 5 hours, delivering two healthy male neonates (2.8 kg and 2.9 kg). Soon after placental delivery, she develops heavy vaginal bleeding consistent with primary postpartum hemorrhage. Based on her history and intrapartum course, which factor is the most important risk factor for postpartum hemorrhage in this case?
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