8 Hours in Obstetrics & Gynecology — 32yo Woman | General Gynecology | SMLE Q#16868

SMLE Question #16868

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 32-year-old woman delivers vaginally at term in a district hospital. She has had six prior term vaginal births, all uncomplicated. In this pregnancy, she labored for 8 hours and delivered a healthy male infant weighing 3000 g; the placenta delivered intact. Minutes later, she develops heavy vaginal bleeding requiring urgent evaluation for postpartum hemorrhage. Which historical feature most likely increased her risk of postpartum hemorrhage in this case?

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