Several factors can contribute to the development of secondary postpartum hemorrhage (SPPH). These may include: Retained placental tissue, Uterine infections (endometritis), Uterine atony, Cervical lacerations or tears, Trauma to the birth canal, Blood clotting disorders (such as von Willebrand disease or thrombocytopenia), Invasive procedures (D&C), and Medications, such as oxytocin or prostaglandins…. Read More »