You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Atonic uterus is more common in: and explain in detail?
Ans. is b, i.e. MultigravidaRef. Dutta Obs. 7/e, p 411Friends, in the text question I have listed the predisposing factors for Atonic PPH. The list is long, but I remember I did not use any mnemonic for memorising it during my undergraduate and postgraduate exams. I memorized it by:Obstetric history which points towards PPH:Grand multiparaQ due to laxed abdomenH/o atonic PPHQ or adherant placentaExamination findings which point towards PPH:Obesity:Malnutrition and/or anemiaOverdistended uterus due to:- HydramniosQ- Multiple pregnancyQ- MacrosomiaQGynaecological disorders:- Fibroid uterus- Uterine malformationsFactors increasing the risk of PPH at the time of delivery:Precipitate laborProlonged laborInadvertent use of oxytocicsUse of general anaesthesiaMismanagement of third stage of laborRetained placental bits.As far as hypertension (Option 'a') is concerned.Remember: Hypertension can lead to Antepartum hemorrhage (abruptio placenta), but not PPH.