USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

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LACERATIONS


Lacerations cause 15% of excessive postpartum bleeding.


Risk Factors. Uncontrolled vaginal delivery (most common), difficult delivery,
and operative vaginal delivery.


Clinical Findings. Identifiable lacerations (cervix, vagina, perineum) in the
presence of a contracted uterus.


Management. Surgical repair.

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