A 28-year-old woman delivers a healthy baby vaginally. Ten minutes later she has heavy vaginal bleeding estimated at 900 mL, with a soft boggy uterus ...

Question

A 28-year-old woman delivers a healthy baby vaginally. Ten minutes later she has heavy vaginal bleeding estimated at 900 mL, with a soft boggy uterus on palpation. Blood pressure is 95/60 mmHg. What is the most appropriate immediate management?

Accepted Answer

Administer uterotonic drugs such as intramuscular Oxytocin and perform uterine massage

Answer

Reassure as this is normal post-partum bleeding

Answer

Prepare for elective caesarean section

Answer

Give oral iron and arrange outpatient review

Answer

Insert a urinary catheter and observe only

uk-plab-1 MCQ (SBA): Primary postpartum haemorrhage

A 28-year-old woman delivers a healthy baby vaginally. Ten minutes later she has heavy vaginal bleeding estimated at 900 mL, with a soft boggy uterus on palpation. Blood pressure is 95/60 mmHg. What is the most appropriate immediate management?