Obstetrics & Gynecology

Last updated on: April 12th, 2021

Upside Down

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A 25 year old primipara presents at term for delivery; her pregnancy has been uncomplicated so far, and her medical and surgical histories are unremarkable.


She delivers a healthy baby vaginally, followed by the complete placenta. Prophylactic oxytocin is administered.


Six hours later, she starts to complain of severe lower abdominal pain and heavy vaginal bleeding.


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