Question

A 32 year old woman has a spontaneous vaginal delivery complicated by a postpartum haemorrhage of 1200 millilitres. The placenta has been delivered. There is ongoing brisk vaginal bleeding. What is the most appropriate first line pharmacological treatment?

Accepted Answer

Intravenous or intramuscular Oxytocin

Answer

Magnesium sulphate infusion

Answer

Prostaglandin E2 pessary

Answer

High dose oral Tranexamic acid alone

Answer

Intravenous broad spectrum antibiotics only

Practice question

A 32 year old woman has a spontaneous vaginal delivery complicated by a postpartum haemorrhage of 1200 millilitres. The placenta has been delivered. There is ongoing brisk vaginal bleeding. What is the most appropriate first line pharmacological treatment?