Postpartum Haemorrhage is part of the Obstetric Complications section of OB & G. Practise 41 exam-style MCQs for NEET PG, FMGE, INI-CET and NEET SS, each with the correct answer and a detailed explanation.
The four Ts, stepwise pelvic devascularisation and the blood-loss thresholds that define severity structure these Postpartum Haemorrhage MCQs, which move from atonic uterus to traumatic bleeding for high-yield NEET PG practice.
Ans, A. Anaemia Methergin (methyl-ergo-novine) is a semisynthetic ergot derivative derived from lysergic acid. Indications
Stepwise pelvic devascularization Uterine artery Tubal branch of ovarian artery (utero-ovarian artery) Anterior branch of internal iliac artery Reference:D C Dutta’s textbook of obstetrics 8 th edition, chapter 28
Cervical tear is the commonest cause of traumatic postpartum haemorrhage. Clinical feature: Excessive vaginal bleeding immediately following delivery in presence of a hard and contracted uterus. Repair should be done under general anesthesia, in lithotomy position with a good light. Reference: D C Dutta’s textbook of obstetrics 8 th edition, chapter 29
The average blood loss is vaginal delivery: 500 ml, caesarean delivery: 1000 ml and caesarean hysterectomy:1500 ml. Depending upon the amount of blood loss, PPH can be Minor ( Major (> 1L) or Severe (> 2L). Reference:D C Dutta’s textbook of obstetrics 8 th edition, chapter 28
Four basic pathologies are expressed as the four Ts’ (RCOG): Tone (atonicity), Tissue (retained bits, blood clots), Trauma (genital tract injury) and Thrombin (coagulopathy). Reference:D C Dutta’s textbook of obstetrics 8 th edition, chapter 28
Conservative management (done for 24 hr): If the bleeding is slight and No apparent cause is detected, Monitoring facility available in the hospital. Reference:D C Dutta’s textbook of obstetrics 8 th edition, chapter 28
Haemorrhage in early pregnancy: abortion, ectopic pregnancy, hydatidiform mole and implantation bleeding. PPH: bleeding after 3 rd stage of labor (after delivery) Reference:D C Dutta’s textbook of obstetrics 8 th edition, chapter 16
Weight of uterus : Immediately after delivery - 1000 gm At the end of 1 week - 500 gm At the end of 2 weeks - 300 gm At the end of 4 weeks it weighs - 100 gm (Pre-pregnant state). Also Know : Immediately following delivery, the fundus is just below the umbilicus (13.5 cm above the symphysis pubis/ 20 weeks gestational age size.) Involution of the uterus After 24 hours of delivery, height of uterus decreases by 1.25 cm/day. Uterus is a pelvic to organ. by the end of 2 weeks. Uterus returns almost to its normal size (pre pregnant size) by the end of 8 weeks. The process by which the postpartum uterus returns to its pre pregnant state is called Involution . Involution is achieved by decrease in the size of muscle fibres (and not in the number). Reference : Dutta Obs. 7/e, pg 145; Williams Obs. 24/e, pg 669
The four Ts, stepwise pelvic devascularisation and the blood-loss thresholds that define severity structure these Postpartum Haemorrhage MCQs, which move from atonic uterus to traumatic bleeding for high-yield NEET PG practice.
MedLadder includes 41 curated MCQs for Postpartum Haemorrhage under OB & G (Obstetric Complications), covering NEET PG, FMGE, INI-CET and NEET SS preparation.
