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➡️most common causes of PPH. ⬇️ ➡️Uterus fails to contract after delivery Risk factors: 1.👉prolonged labor, overdistended uterus (multiple pregnancy, polyhydramnios, macrosomia), induction/augmentation, chorioamnionitis, grand multiparity 2.👉 Trauma Genital tract injury: Cervical, vaginal, or perineal tears Uterine rupture Uterine inversion More common with operative vaginal delivery or precipitous labor 3. 👉Tissue Retained products of conception Retained placenta Placenta accreta spectrum 4.
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