A 32-year-old woman delivers vaginally and 30 minutes later develops heavy vaginal bleeding estimated at 900 mL. The uterus feels boggy on palpation. ...

Question

A 32-year-old woman delivers vaginally and 30 minutes later develops heavy vaginal bleeding estimated at 900 mL. The uterus feels boggy on palpation. What is the most appropriate initial management?

Accepted Answer

Start uterine massage and give intravenous Oxytocin

Answer

Insert a Foley catheter into the bladder only

Answer

Give high-dose intravenous antibiotics

Answer

Arrange elective hysterectomy

Answer

Discharge as this is normal blood loss

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

A 32-year-old woman delivers vaginally and 30 minutes later develops heavy vaginal bleeding estimated at 900 mL. The uterus feels boggy on palpation. What is the most appropriate initial management?