Which of the following lists represents risk factors that increase postpartum hemorrhage risk?

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Multiple Choice

Which of the following lists represents risk factors that increase postpartum hemorrhage risk?

The risk for postpartum hemorrhage comes from several interconnected pathways: the uterus being overdistended or overstimulated by long labor, the use of interventions like induction or augmentation, problems with placental separation or attachment, and a history of bleeding in a previous birth. The best choice includes all of these factors—uterine overdistension; prolonged labor; augmentation/induction; retained placenta; placenta previa or placenta accreta; multiple gestation; and prior PPH—because it captures the major categories that raise PPH risk: uterine factors, placental factors, labor-management factors, and prior obstetric history. Other options miss key risk factors. Placenta previa alone doesn’t cover the other important contributors; retained placenta with prolonged labor misses the labor-management and placental-attachment aspects; prior PPH alone misses the broader range of risk factors.

The risk for postpartum hemorrhage comes from several interconnected pathways: the uterus being overdistended or overstimulated by long labor, the use of interventions like induction or augmentation, problems with placental separation or attachment, and a history of bleeding in a previous birth. The best choice includes all of these factors—uterine overdistension; prolonged labor; augmentation/induction; retained placenta; placenta previa or placenta accreta; multiple gestation; and prior PPH—because it captures the major categories that raise PPH risk: uterine factors, placental factors, labor-management factors, and prior obstetric history.

Other options miss key risk factors. Placenta previa alone doesn’t cover the other important contributors; retained placenta with prolonged labor misses the labor-management and placental-attachment aspects; prior PPH alone misses the broader range of risk factors.

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