Question

A 28-year-old woman delivers vaginally and 30 minutes later has heavy vaginal bleeding with a boggy uterus. Estimated blood loss is 1200 mL. What is the most appropriate initial management step?

Accepted Answer

Uterine massage and oxytocin infusion

Answer

Wait and observe as bleeding often settles

Answer

Administer oral iron tablets

Answer

Start prophylactic antibiotics only

Answer

Apply ice packs to the abdomen alone

Practice question

A 28-year-old woman delivers vaginally and 30 minutes later has heavy vaginal bleeding with a boggy uterus. Estimated blood loss is 1200 mL. What is the most appropriate initial management step?