A 32-year-old woman delivers vaginally following an uncomplicated labour. Thirty minutes after birth, she develops heavy vaginal bleeding with passage...

Question

A 32-year-old woman delivers vaginally following an uncomplicated labour. Thirty minutes after birth, she develops heavy vaginal bleeding with passage of large clots. The uterus is soft and boggy on palpation. What is the most appropriate first-line management?

Accepted Answer

Uterine massage and administration of oxytocin

Answer

Immediate laparotomy for hysterectomy

Answer

High-dose tranexamic acid alone

Answer

Insertion of an intrauterine balloon tamponade as first step

Answer

Observation only as this is normal postpartum lochia

au-amc MCQ (SBA): Primary postpartum haemorrhage

A 32-year-old woman delivers vaginally following an uncomplicated labour. Thirty minutes after birth, she develops heavy vaginal bleeding with passage of large clots. The uterus is soft and boggy on palpation. What is the most appropriate first-line management?