Which statement is NOT a listed postpartum hemorrhage risk factor?

• A. Placenta previa
• B. Placenta accreta
• C. Prior PPH
• D. Regular physical activity

Answer: (D)

Understanding postpartum hemorrhage risk factors centers on elements that affect placental placement or uterine contraction after birth. Placenta previa increases bleeding risk because the placenta is near or covering the cervical opening, making placental separation more likely to cause heavy bleeding. Placenta accreta causes severe hemorrhage because the placenta attaches too deeply into the uterine wall, making detachment difficult. A history of prior postpartum hemorrhage signals a tendency toward recurrent problems with uterine tone or placental attachment. Regular physical activity, on the other hand, is not described as a risk factor for postpartum hemorrhage and does not predispose to excessive bleeding after delivery.