After a 4-hour labor, a 31-year-old G4 P3 woman undergoes an uneventful vaginal delivery of a 7 lb 8 oz infant over an intact perineum. During her labor, she is noted to have mild variable decelerations and accelerations that increase 20 beats per minute (bpm) above the baseline heart rate. At delivery, the male baby has Apgar scores of 8 at 1 minute, and 9 at 5 minutes. Slight lengthening of the cord occurs after 28 minutes along with a small gush of blood per vagina.

As the placenta is being delivered, a shaggy, reddish, bulging mass is noted at the introitus around the placenta. What is the most likely diagnosis? *This case is from Docplexus editorial team for educative purpose only Source: Case files: obstetrics & gynecology The answer is available now, to know click here