Question:
What is the most common cause of tenth day (secondary) postpartum bleeding?
What is the most common cause of tenth day (secondary) postpartum bleeding?
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Late postpartum bleeding usually means something was left behind in the uterus.
Updated On: Jun 24, 2026
- Retained bits of membrane or placenta
- Infection
- Endometritis
- Blood coagulopathy
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The Correct Option is A
Solution and Explanation
Step 1: Bleeding around the tenth postpartum day is secondary (late) postpartum hemorrhage, defined as abnormal bleeding from the genital tract occurring between 24 hours and 6 weeks after delivery.
Step 2: The single most common cause is retained bits of placental tissue or membranes. These retained products prevent proper uterine involution and act as a focus for bleeding.
Step 3: Infection and endometritis often coexist with retained products and can aggravate the bleeding, but they are secondary contributors rather than the leading primary cause.
Step 4: Coagulopathy is an uncommon cause of late PPH. Hence retained bits of membrane is the best answer.
Step 2: The single most common cause is retained bits of placental tissue or membranes. These retained products prevent proper uterine involution and act as a focus for bleeding.
Step 3: Infection and endometritis often coexist with retained products and can aggravate the bleeding, but they are secondary contributors rather than the leading primary cause.
Step 4: Coagulopathy is an uncommon cause of late PPH. Hence retained bits of membrane is the best answer.
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