Risk Factors
- Conditions that distend the uterus beyond average capacity, such as multiple gestations, hydramnios, a large baby, and uterine myomas.
- Conditions that could have caused cervical or uterine lacerations, such as operative birth or rapid birth.
- Conditions with varied placental site attachment, such as placenta previa and abruption placenta.
- Uterus that cannot contract readily, such as deep anesthesia during cesarean delivery, advanced maternal age, and high parity.
- Inadequate blood coagulation, such as disseminated intravascular coagulation.
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