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TEARS OF CERVIX, VAGINA OR PERINEUM
Tears of the birth canal are the second most frequent cause
of PPH. Postpartum bleeding with a contracted uterus is usually
due to a cervical or vaginal tear, but tears may coexist with
atonic uterus.
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Examine
the woman carefully and repair tears of the cervix or
vagina and
perineum. |
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If
bleeding continues, assess clotting status using a bedside
clotting test. |
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