Most common cause of secondary PPH is -
Infection
Retained products of conception
Coagulation defects
Estrogen therapy for lactation suppression
Ans. is 'b' i.e., Retained products of conception Secondary PPHo Bleeding usually occurs between 8th to 14th day of deliveryo Causes of late PPH :# Retained bits of cotyledon or membranes (M.C.)# Infection and separation of slough over a deep cervico - vaginal laceration.# Endometritis and subinvolution of the placental site.o Management:# Replacement of blood loss# USG to rule out retained products of conception.# Dilatation and curettage to remove retained products.# Laceration with bleeding vessel - Hemostatic sutures.# Secondary hemorrhage following caesarean section - Laparotomy with SOS Internal iliac artery ligation sos hysterectomy.
Disorders in Menstruation