Question

Which One of the following is not a cause of secondary Postpartum Haemorrhage ?

• A. Placenta previa
• B. Retained bits of placenta
• C. Endometritis
• D. Polyp

Answer 1

The Correct Option is A

In the field of Gynaecology and Obstetrics, it's important to understand the causes of secondary postpartum haemorrhage. Secondary postpartum haemorrhage occurs when there is excessive bleeding from the genital tract from 24 hours after delivery up to 6 weeks postpartum. It's essential to identify its typically associated causes to manage it effectively.

1. Placenta previa: This is a condition where the placenta covers the cervix either partially or completely. However, placenta previa is associated with antepartum haemorrhage (bleeding before delivery), not postpartum haemorrhage. Thus, it is not a cause of secondary postpartum haemorrhage.
2. Retained bits of placenta: This condition occurs when fragments of the placenta remain in the uterus after delivery. It can cause continuous bleeding and is a known cause of secondary postpartum haemorrhage.
3. Endometritis: An infection of the uterine lining that can lead to bleeding post-delivery, making it a potential cause of secondary postpartum haemorrhage.
4. Polyp: Presence of a polyp can cause abnormal uterine bleeding, including secondary postpartum haemorrhage.

Considering these options, placenta previa is not a cause of secondary postpartum haemorrhage, as it is related to bleeding before delivery.