No Bogginess in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16450
SMLE Question #16450
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 24-year-old primigravida delivers a healthy term infant by spontaneous vaginal delivery. The third stage is managed actively, and the placenta appears complete on inspection. Within minutes of placental delivery, she develops approximately 1000 mL of brisk vaginal bleeding. She is alert and oriented. Bimanual examination shows a firm, well-contracted, nontender uterine fundus at the level of the umbilicus, with no bogginess. What is the most likely cause of this postpartum hemorrhage?
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