30-year-old G2p2 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17947
SMLE Question #17947
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-OBG-PPH-001
Last updated: February 2026
A 30-year-old G2P2 woman is brought to the labor ward 2 hours after an uncomplicated spontaneous vaginal delivery of term twins. She reports soaking 2 pads in 20 minutes and feels lightheaded. Examination shows active vaginal bleeding; the uterus is enlarged, soft, and rises above the umbilicus. The placenta was delivered but required gentle traction. What is the most likely cause of her bleeding?
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