Question

A 35-year-old woman one week postpartum has heavy vaginal bleeding unresponsive to uterine massage and oxytocin. What adjunct has proven mortality benefit when given early?

Accepted Answer

Tranexamic acid 1 g IV within 3 hours of birth

Answer

Carboprost IM after 6 hours

Answer

Methylergonovine IM 0.2 mg only if hypertensive

Answer

Misoprostol 200 mcg PO once

Answer

Recombinant factor VIIa immediately

Practice question

A 35-year-old woman one week postpartum has heavy vaginal bleeding unresponsive to uterine massage and oxytocin. What adjunct has proven mortality benefit when given early?