A 29-year-old woman presents to the GP 7 days after a normal vaginal delivery. She reports persistent heavy red lochia soaking more than one pad per h...

Question

A 29-year-old woman presents to the GP 7 days after a normal vaginal delivery. She reports persistent heavy red lochia soaking more than one pad per hour, with occasional clots. She has no fever, her uterus is tender and palpable at the umbilicus. She feels dizzy on standing. Her pulse is 108 bpm. Which is the most likely diagnosis?

Accepted Answer

Secondary postpartum haemorrhage likely due to retained products or subinvolution of the placental site

Answer

Normal postpartum lochia

Answer

Endometritis

Answer

Cervical laceration

Answer

Coagulation disorder

uk-drcog MCQ (SBA): Secondary PPH - Subinvolution