Question

A 28-year-old postpartum woman (24 hours) develops heavy vaginal bleeding with hypotension. First-line uterotonic after uterine massage if no contraindication?

Accepted Answer

Oxytocin 10-40 units in 1 L IV infusion

Answer

Ergotamine 0.2 mg IM

Answer

Misoprostol 100 µg PO

Answer

Methylergonovine in hypertension

Answer

Tranexamic acid 2 g IV bolus as first-line

Practice question

A 28-year-old postpartum woman (24 hours) develops heavy vaginal bleeding with hypotension. First-line uterotonic after uterine massage if no contraindication?