A 25yo had an LSCS 24h ago for fetal distress. She now complains of intermittent vaginal
bleeding. Observations: O2 sat=98% in air, BP=124/82mmHg, pulse=84bpm, temp=37.8C. The
midwife tells you that she had a retained placenta, which required manual removal in the OT.
Choose the most appropriate C-Section complication in this case?
a. Retained POC
b. Aspiration pneumonitis
d. Uterine rupture
Q. 1. What is the key?
Q. 2. What are the points in favour?
Ans. 1. The key is C. Endometritis.
Ans. 2. More handling of tissue like manual removal of placenta, intermittent vaginal bleeding and raised temperature points toward infective process like endometritis.