A 32-year-old woman delivers vaginally after an uncomplicated pregnancy. Ten minutes after delivery of the placenta, she has heavy vaginal bleeding es...

Question

A 32-year-old woman delivers vaginally after an uncomplicated pregnancy. Ten minutes after delivery of the placenta, she has heavy vaginal bleeding estimated at 900 mL, with a soft boggy uterus on palpation. Which is the most appropriate first-line management of this postpartum haemorrhage?

Accepted Answer

Uterine massage and intravenous oxytocin infusion

Answer

Immediate hysterectomy

Answer

High-dose intravenous tranexamic acid only

Answer

Manual removal of retained placenta under general anaesthesia

Answer

Expectant management as this can be normal

ca-mccqe1 MCQ (SBA): Postpartum haemorrhage

A 32-year-old woman delivers vaginally after an uncomplicated pregnancy. Ten minutes after delivery of the placenta, she has heavy vaginal bleeding estimated at 900 mL, with a soft boggy uterus on palpation. Which is the most appropriate first-line management of this postpartum haemorrhage?