Placental site excluded from contraction (paralysis).
View of vulva.
Injuries. Flow continuous, fluid and bright red, shows arterial origin, probably from cervix. Examine.
Atony—bleeding at intervals, clotted and dark.
Hæmorrhage from a tear begins at once.
Uterus contracted and hæmorrhage continues. Look for tear.
If hæmorrhage does not begin within ten or fifteen minutes after labor it is not from a tear.
Always have hæmophilia in mind.
Management.—
Third stage must be conducted properly.