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What are the 4 causes of PPH?

Published in Postpartum Hemorrhage Causes 1 min read

The 4 causes of postpartum hemorrhage (PPH) are often remembered using the "4 Ts". These are:

The 4 Ts of Postpartum Hemorrhage

Cause Explanation
Tone Uterine atony, or a soft and weak uterus after delivery, is the most common cause of PPH. The uterus fails to contract adequately after childbirth.
Trauma Injuries to the birth canal during delivery, such as lacerations or hematomas.
Tissue Retained placental fragments preventing the uterus from contracting properly.
Thrombin Coagulation disorders preventing proper blood clotting.