A 25-year-old gravida 2,para 2-0-0-2 gave birth 4 hours ago to a 4300 g boy after augmentation of labour with oxytocin.She puts on her call light and asks for her nurse right away,stating,"I'm bleeding a lot." What is the most likely cause of postpartum hemorrhage in this woman?

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This woman gave birth to a macrosomic boy after oxytocin augmentation.The most likely cause of postpartum bleeding,combined with these risk factors,is uterine atony.Although retained placental fragments may cause postpartum hemorrhage,this typically would be detected in the first hour after delivery of the placenta and is not the most likely cause of hemorrhage in this woman.Although unrepaired vaginal lacerations may cause bleeding,they typically would occur in the period immediately after birth.Puerperal infection can cause subinvolution and subsequent bleeding,but it typically would be detected 24 hours after delivery.

A 25-Year-Old Gravida 2,para 2-0-0-2 Gave Birth 4 Hours Ago