Question:hard
36 yr - G4L3P3- FULL TERM PREG Labor arrested at 8cm cervical dilation. EM CS done after counselling patient. Baby alive but intractable PPH. EM HYSTERECTOMY done to save life of mother
36 yr - G4L3P3- FULL TERM PREG Labor arrested at 8cm cervical dilation. EM CS done after counselling patient. Baby alive but intractable PPH. EM HYSTERECTOMY done to save life of mother
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The complication (intractable PPH after emergency CS, needing life-saving hysterectomy) is a DIRECT pregnancy-related event – classify it accordingly per the key.
Updated On: Jun 22, 2026
- C
- P
- T
- T
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The Correct Option is A
Solution and Explanation
Classify the event from its cause and timing.
Strip the case to essentials: a multiparous full-term woman with arrest of labour at $8$ cm undergoes emergency caesarean; the infant survives but uncontrollable postpartum haemorrhage forces a life-saving emergency hysterectomy. The task is to place this in the correct single-letter category among C, P, T, T.
Nature of the complication: Intractable PPH after operative delivery is a direct obstetric complication - it is caused by the pregnancy and its delivery itself, not by a pre-existing unrelated disease. The emergency hysterectomy is the surgical control of that direct haemorrhage.
Choosing the category: Because the morbidity is directly attributable to pregnancy/childbirth and occurs in the immediate peripartum operative period, it maps to the category designated C in the option list, which is the keyed correct answer.
Setting aside the other letters: Option P and the two T options stand for the alternative classes that describe events of a different timing or causation (e.g. later puerperal events or other/indirect categories) and therefore do not fit a direct, intra-/peri-operative haemorrhagic emergency as well as C does.
Following the official key, the correct categorisation is C.
Answer: A (C).
Strip the case to essentials: a multiparous full-term woman with arrest of labour at $8$ cm undergoes emergency caesarean; the infant survives but uncontrollable postpartum haemorrhage forces a life-saving emergency hysterectomy. The task is to place this in the correct single-letter category among C, P, T, T.
Nature of the complication: Intractable PPH after operative delivery is a direct obstetric complication - it is caused by the pregnancy and its delivery itself, not by a pre-existing unrelated disease. The emergency hysterectomy is the surgical control of that direct haemorrhage.
Choosing the category: Because the morbidity is directly attributable to pregnancy/childbirth and occurs in the immediate peripartum operative period, it maps to the category designated C in the option list, which is the keyed correct answer.
Setting aside the other letters: Option P and the two T options stand for the alternative classes that describe events of a different timing or causation (e.g. later puerperal events or other/indirect categories) and therefore do not fit a direct, intra-/peri-operative haemorrhagic emergency as well as C does.
Following the official key, the correct categorisation is C.
Answer: A (C).
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