Mild Lower Abdominal Cramping in Obstetrics & Gynecology — 28yo Woman | General Gynecology | SMLE Q#517
SMLE Question #517
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 28-year-old woman, G1P1, has persistent vaginal bleeding 2 weeks after an emergency lower-segment cesarean section. She passes small clots and changes pads every 2–3 hours, with mild lower abdominal cramping. Speculum examination shows bleeding from the uterine cavity with a closed cervical os and no cervical or vaginal lacerations. Bimanual examination reveals a slightly enlarged, mildly tender uterus. What is the most likely cause of her persistent vaginal bleeding?
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