Large Clots in Obstetrics & Gynecology — 32yo Woman | General Gynecology | SMLE Q#440
SMLE Question #440
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 32-year-old woman, G4P3, delivers a 3.4-kg infant vaginally after 16 hours of labour. Shortly after placental delivery, she develops heavy vaginal bleeding with large clots. Examination shows an enlarged, soft, poorly contracted uterus. No retained placental tissue is seen, and there are no genital tract lacerations. What is the most likely cause of her postpartum haemorrhage?
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