Question

A 32-year-old woman delivers vaginally and then develops heavy vaginal bleeding estimated at 1200 mL within 30 minutes despite uterine massage and IV oxytocin infusion. She remains hypotensive. What is the most appropriate next pharmacological step in managing this primary postpartum haemorrhage?

Accepted Answer

Give intramuscular or intravenous Ergometrine (if no hypertension) and consider Carboprost

Answer

Administer additional intravenous Oxytocin only

Answer

Start oral Misoprostol only

Answer

Wait for coagulation results before further treatment

Answer

Begin prophylactic low-molecular-weight heparin

Practice question

A 32-year-old woman delivers vaginally and then develops heavy vaginal bleeding estimated at 1200 mL within 30 minutes despite uterine massage and IV oxytocin infusion. She remains hypotensive. What is the most appropriate next pharmacological step in managing this primary postpartum haemorrhage?