Question

A 31-year-old G2P2 woman has a postpartum haemorrhage of 1200 mL following vaginal delivery due to uterine atony. Uterine massage and oxytocin infusion have been started. According to SOGC guidance, what is the next best pharmacologic step?

Accepted Answer

Administer tranexamic acid and a second uterotonic such as carboprost or ergometrine

Answer

Administer additional oxytocin only

Answer

Start intravenous heparin

Answer

Administer high-dose corticosteroids

Answer

Give misoprostol rectally and discharge home

Practice question

A 31-year-old G2P2 woman has a postpartum haemorrhage of 1200 mL following vaginal delivery due to uterine atony. Uterine massage and oxytocin infusion have been started. According to SOGC guidance, what is the next best pharmacologic step?