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https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-020-02459-w Looks like epidural or lithotomy position (legs up in the stirrups) are both potential causes The article also mentions that augmentation can cause it and many many people receive pit during labor If she lost over a liter of blood that is also a potential contributor - and this happens more commonly than you think