OBSintermediate
Which of the following is a recognized cause of secondary postpartum hemorrhage (bleeding occurring between 24 hours and 12 weeks after delivery)? Select all that apply.
Answer
Retained placental tissue
Explanation
All four choices are listed causes. Other causes include foreign body or slipped ligature, subinvolution, and submucous fibroid. **Key takeaway:** The differential includes retained tissue, infection, structural causes, and uncommon pathology.\n\n**Glossary:** **Trophoblastic disease**: abnormal proliferation of placental trophoblastic tissue.
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