38-year-old Multiparous in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#19932
SMLE Question #19932
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-PPH-001
Last updated: May 2026
A 38-year-old multiparous woman delivers a term infant by spontaneous vaginal delivery. The placenta is delivered intact. One hour later, she develops heavy vaginal bleeding soaking pads. On examination, the uterus is enlarged, soft, and poorly contracted; the fundus is palpable above the umbilicus. She reports no abdominal pain, and no cervical or vaginal lacerations are seen on inspection. What is the most likely cause of her postpartum hemorrhage?
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