A 29-year-old woman presents 3 days after a normal vaginal delivery with heavy vaginal bleeding and passage of clots. Her uterus is boggy and enlarged...

Question

A 29-year-old woman presents 3 days after a normal vaginal delivery with heavy vaginal bleeding and passage of clots. Her uterus is boggy and enlarged on palpation. What is the most appropriate first-line pharmacological management of this primary postpartum haemorrhage?

Accepted Answer

Intravenous oxytocin bolus followed by infusion

Answer

Intravenous tranexamic acid alone

Answer

Intravenous ergometrine alone

Answer

Prostaglandin F2α analogue only

Answer

No pharmacological therapy; manual uterine exploration only

au-amc MCQ (SBA): Primary postpartum haemorrhage

A 29-year-old woman presents 3 days after a normal vaginal delivery with heavy vaginal bleeding and passage of clots. Her uterus is boggy and enlarged on palpation. What is the most appropriate first-line pharmacological management of this primary postpartum haemorrhage?