Question

A 29-year-old G2P1 woman has a normal spontaneous vaginal delivery complicated by an estimated blood loss of 1200 mL. She is tachycardic and hypotensive. Examination reveals a boggy uterus. According to SOGC Guideline No. 431, which is the most appropriate immediate first-line intervention?

Accepted Answer

Administer uterotonic agents (e.g. oxytocin) and uterine massage

Answer

Begin massive transfusion protocol only

Answer

Perform immediate laparotomy

Answer

Insert an intrauterine balloon tamponade device as first step

Answer

Observe as this blood loss is within normal limits postpartum

Practice question

A 29-year-old G2P1 woman has a normal spontaneous vaginal delivery complicated by an estimated blood loss of 1200 mL. She is tachycardic and hypotensive. Examination reveals a boggy uterus. According to SOGC Guideline No. 431, which is the most appropriate immediate first-line intervention?