Uterine atony Quiz: Ace Your Exams
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A 30-year-old G1P1 woman had a vaginal delivery that was complicated by prolonged labor with oxytocin infusion. The placenta is delivered intact. Following delivery, she experienced postpartum hemorrhage. Her pregnancy was uncomplicated. She has no history of heavy menstrual bleeding or excessive bleeding following minor injuries or procedures. She has no history of recurrent bruising. Past medical history is significant for type 1 diabetes and hypothyroidism managed with insulin and levothyroxine. Family history is unremarkable. Temperature is 36.8°C (98.2°F), heart rate is 110/min, blood pressure is 95/60 mmHg, respiratory rate is 18/min, and oxygen saturation is 97% on room air. On examination, the abdomen is soft and nontender. There is brisk vaginal bleeding and a soft, boggy uterus. Which of the following is the most likely cause of this patient’s vaginal bleeding?
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