Question

A 29-year-old woman 4 hours postpartum after a normal vaginal delivery suddenly develops heavy vaginal bleeding with large clots. Fundus is boggy and above the umbilicus. Blood pressure is 95/60 mmHg and pulse 120/min. What is the single most appropriate immediate management step?

Accepted Answer

Bimanual uterine massage and administration of IV oxytocin

Answer

Start high-dose IV antibiotics

Answer

Arrange CT scan to look for retained products

Answer

Insert a urinary catheter and observe

Answer

Discharge home with iron supplements

Practice question

A 29-year-old woman 4 hours postpartum after a normal vaginal delivery suddenly develops heavy vaginal bleeding with large clots. Fundus is boggy and above the umbilicus. Blood pressure is 95/60 mmHg and pulse 120/min. What is the single most appropriate immediate management step?