Question

A 28-year-old woman has a normal vaginal birth complicated by postpartum haemorrhage estimated at 800 mL due to uterine atony. The placenta has been delivered. What is the most appropriate first-line pharmacological treatment to control the bleeding?

Accepted Answer

Intravenous oxytocin infusion

Answer

Intravenous tranexamic acid only

Answer

Ergometrine alone

Answer

High-dose oral misoprostol alone

Answer

No pharmacological therapy; manual uterine massage only

Practice question

A 28-year-old woman has a normal vaginal birth complicated by postpartum haemorrhage estimated at 800 mL due to uterine atony. The placenta has been delivered. What is the most appropriate first-line pharmacological treatment to control the bleeding?