Question

A 28-year-old woman delivers vaginally at term. Ten minutes after delivery, she has heavy vaginal bleeding estimated at 900 mL, with a soft uterine fundus. What is the most appropriate immediate management?

Accepted Answer

Administer oxytocin and perform uterine massage

Answer

Begin high-dose intravenous heparin

Answer

Observe for 30 minutes as this is normal

Answer

Insert a urinary catheter only

Answer

Give non-steroidal anti-inflammatory drugs for pain relief only

Practice question

A 28-year-old woman delivers vaginally at term. Ten minutes after delivery, she has heavy vaginal bleeding estimated at 900 mL, with a soft uterine fundus. What is the most appropriate immediate management?