CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A pregnant woman is experiencing an obstetric emergency due to hemorrhagic shock. Of the following, which is the most probable cause?

Placenta previa
Septicemia
Inverted uterus
Amniotic fluid embolism

Explanation

Answer: A - Placenta previa
The most common symptom of placenta previa is vaginal bleeding (which can cause severe bleeding before or during delivery). Causes of obstetric shock include:
1. Placenta previa
2. Abruptio placenta
3. Postpartum hemorrhage (PPH)
4. Ruptured uterus
5. Cervical tear
6. Perineal tear
7. Internal hemorrhage

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