A 32-year-old woman delivers vaginally and 20 minutes later has heavy vaginal bleeding estimated at 1200 mL. She is pale and tachycardic. The uterus f...

Question

A 32-year-old woman delivers vaginally and 20 minutes later has heavy vaginal bleeding estimated at 1200 mL. She is pale and tachycardic. The uterus feels boggy on palpation. What is the single most appropriate immediate management step?

Accepted Answer

Perform uterine massage and give intramuscular Oxytocin

Answer

Start oral iron and review tomorrow

Answer

Begin intravenous broad-spectrum antibiotics only

Answer

Arrange elective theatre booking later that day

Answer

Insert a copper intrauterine device

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

A 32-year-old woman delivers vaginally and 20 minutes later has heavy vaginal bleeding estimated at 1200 mL. She is pale and tachycardic. The uterus feels boggy on palpation. What is the single most appropriate immediate management step?