A 28-year-old woman gives birth vaginally and within 15 minutes develops heavy vaginal bleeding, estimated at 900 mL. The uterus feels boggy on abdomi...

Question

A 28-year-old woman gives birth vaginally and within 15 minutes develops heavy vaginal bleeding, estimated at 900 mL. The uterus feels boggy on abdominal examination. What is the most appropriate immediate management?

Accepted Answer

Administer intramuscular Oxytocin and perform uterine massage

Answer

Manual removal of placenta under general anaesthesia

Answer

Start broad-spectrum intravenous antibiotics

Answer

Arrange emergency hysterectomy

Answer

Observe with no intervention as this is normal

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

A 28-year-old woman gives birth vaginally and within 15 minutes develops heavy vaginal bleeding, estimated at 900 mL. The uterus feels boggy on abdominal examination. What is the most appropriate immediate management?