Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A 27 years old pregnant female complains of blood pooling in the area between the pelvic peritoneum and perineal skin. Of the following, which is the probable injury that has occurred?
  1. Cervical tear
  2. Pelvic haematoma
  3. Perineal tear
  4. Ruptured uterus
Explanation
Answer: B - Pelvic hematoma
A pelvic hematoma is caused by blood pooled in the area between the pelvic peritoneum and perineal skin, and there are two types (intralevator and supralevator). Causes of pelvic hematoma include:
1) Improper hemostasis
2) Rupture of paravaginal venous plexus
3) Vulva rupture
4) Lower uterine segment rupture
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