Question

A 28-year-old woman delivers vaginally at term. One hour later she has heavy vaginal bleeding estimated at 900 mL, a boggy uterus, and hypotension. What is the most appropriate first-line management?

Accepted Answer

Administer uterotonic agents and perform uterine massage

Answer

Give high-dose tranexamic acid only

Answer

Arrange immediate hysterectomy

Answer

Give broad-spectrum antibiotics only

Answer

Observe, as this is expected blood loss

Practice question

A 28-year-old woman delivers vaginally at term. One hour later she has heavy vaginal bleeding estimated at 900 mL, a boggy uterus, and hypotension. What is the most appropriate first-line management?