Endometrial Hyperplasia as a Cause of Secondary Postpartum Hemorrhage in a Post Caesarean Section Patient
Bibliographic record
Abstract
There are multiple causes of prolonged and persistent postpartum bleeding. The common etiologies include uterine atony, endometritis and retained products of conception. Uncommon causes described in literature include uterine artery pseudoaneurysm, placental site nodule and uterine scar dehiscence. Endometrial hyperplasia causing persistent per vaginal bleeding postpartum has yet to be reported in literature. The rarity of this condition may be attributed to the underlying pathogenesis. Endometrial hyperplasia is caused by unopposed estrogen and it is well established that pregnancy decreases the risk of endometrial hyperplasia. We present a case report of a 42-year-old lady found to have complex endometrial hyperplasia during evaluation for persistent per vaginal bleeding 3 months post Caesarean section. J Med Cases. 2018;9(6):183-186 doi: https://doi.org/10.14740/jmc3064w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".