Question

A woman has a postpartum haemorrhage with an estimated blood loss of 1,200 mL following a vaginal delivery. The placenta has been delivered but the uterus feels boggy on palpation. What is the most appropriate immediate management?

Accepted Answer

Begin uterine massage and give oxytocin

Answer

Administer tranexamic acid only

Answer

Observe for 30 minutes as the bleeding often stops spontaneously

Answer

Take the woman directly to theatre without other measures

Answer

Give broad-spectrum antibiotics only

Practice question

A woman has a postpartum haemorrhage with an estimated blood loss of 1,200 mL following a vaginal delivery. The placenta has been delivered but the uterus feels boggy on palpation. What is the most appropriate immediate management?