A 28-year-old woman has a normal vaginal delivery complicated by a postpartum haemorrhage with estimated blood loss of 900 mL. The uterus feels boggy ...

Question

A 28-year-old woman has a normal vaginal delivery complicated by a postpartum haemorrhage with estimated blood loss of 900 mL. The uterus feels boggy and there are no retained products seen. What is the most appropriate first-line management?

Accepted Answer

Administer Syntocinon (Oxytocin) and perform uterine massage

Answer

Immediate hysterectomy

Answer

Start broad-spectrum IV antibiotics only

Answer

Apply bimanual compression and do nothing else

Answer

Transfuse 4 units of blood immediately without other treatment

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

A 28-year-old woman has a normal vaginal delivery complicated by a postpartum haemorrhage with estimated blood loss of 900 mL. The uterus feels boggy and there are no retained products seen. What is the most appropriate first-line management?