Uterine atony Quiz: Ace Your Exams
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A 40-year-old G2P2 woman reports dizziness and lightheadedness and has continuous vaginal bleeding after the delivery of a healthy boy weighing 3.3 kg (7.3 lbs). Her pregnancy was complicated by polyhydramnios. She progressed through the stages of delivery quickly and did not receive oxytocin. Past obstetric history is significant for prior vaginal delivery of a healthy baby. The patient has a history of hypertension controlled by hydrochlorothiazide. Temperature is 36.8°C (98.2°F), heart rate is 110/min, blood pressure is 97/65 mm Hg, respiratory rate is 20/min, and oxygen saturation is 97% on room air. BMI is 30. On physical examination, the patient has no cervical or vaginal lacerations; and she has a soft, boggy, poorly contracted uterus. There is continuous bleeding from the vagina. Which of the following factors is the most likely risk factor for her current condition?
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