Question

A 28-year-old woman 6 hours postpartum develops heavy vaginal bleeding with a boggy uterus on examination. Blood pressure is 90/60 mmHg. What is the most appropriate first-line uterotonic therapy?

Accepted Answer

Oxytocin (syntocinon) intravenously or intramuscularly

Answer

Ergometrine alone as first-line

Answer

Misoprostol only

Answer

Tranexamic acid only

Answer

No uterotonics; observe

Practice question

A 28-year-old woman 6 hours postpartum develops heavy vaginal bleeding with a boggy uterus on examination. Blood pressure is 90/60 mmHg. What is the most appropriate first-line uterotonic therapy?