Antenatally Noted Low-lying Placenta in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16732
SMLE Question #16732
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 38-year-old multiparous woman at 39 weeks’ gestation with an antenatally noted low-lying placenta has a spontaneous vaginal delivery of a healthy newborn. The placenta is delivered completely and appears intact. One hour later, she develops sudden heavy vaginal bleeding with passage of large clots. Speculum examination shows no obvious cervical or vaginal lacerations. Bimanual examination shows an enlarged, soft, boggy uterus palpable above the umbilicus. What is the most likely diagnosis causing her postpartum hemorrhage?
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