Question

A 2-hour postpartum woman following vaginal delivery suddenly develops heavy vaginal bleeding with clots. Estimated blood loss is 1200 mL, blood pressure is 90/55 mm Hg, and heart rate is 120 beats/min. Uterus is boggy on palpation. According to SOGC's postpartum haemorrhage guideline, what is the most appropriate immediate management?

Accepted Answer

Activate the postpartum haemorrhage protocol, initiate uterine massage, give oxytocin, and start resuscitation including intravenous fluids and blood products as needed

Answer

Observation only because postpartum bleeding is expected

Answer

Administer high-dose diuretics to reduce intravascular volume

Answer

Delay treatment until haemoglobin result is available

Answer

Transfer to ICU without any interventions in the delivery room

Practice question