A postpartum patient with hemorrhage within 1 hour of delivery has ongoing bleeding despite oxytocin. What antifibrinolytic strategy is recommended?...

Question

A postpartum patient with hemorrhage within 1 hour of delivery has ongoing bleeding despite oxytocin. What antifibrinolytic strategy is recommended?

Accepted Answer

Give tranexamic acid as early as possible within 3 hours of PPH

Answer

TXA is contraindicated

Answer

Delay TXA until after transfusion

Answer

Use TXA only after all uterotonics fail

Answer

Give magnesium sulfate

us-abem MCQ (SBA): Postpartum Hemorrhage (TXA)