Question

A 26-year-old woman, 2 hours after a vaginal delivery, has ongoing heavy vaginal bleeding despite an apparently complete placenta. Uterus is boggy on palpation. Blood pressure is 95/60 mmHg, pulse 110 beats/min. What is the most appropriate first-line management?

Accepted Answer

Administer uterotonic agents such as oxytocin and perform uterine massage

Answer

Begin high-dose intravenous antibiotics

Answer

Perform immediate hysterectomy

Answer

Insert an intrauterine device

Answer

Observe as this is normal postpartum bleeding

Practice question

A 26-year-old woman, 2 hours after a vaginal delivery, has ongoing heavy vaginal bleeding despite an apparently complete placenta. Uterus is boggy on palpation. Blood pressure is 95/60 mmHg, pulse 110 beats/min. What is the most appropriate first-line management?