Question

A 32-year-old postpartum patient with heavy bleeding unresponsive to uterine massage and oxytocin (10 IU IM) is 30 minutes post-delivery. What is the next recommended step in the first-line sequence?

Accepted Answer

Administer tranexamic acid within 3 hours

Answer

Start heparin for DIC prophylaxis

Answer

Begin methylergometrine without contraindication screening

Answer

Proceed directly to hysterectomy

Answer

Administer recombinant factor VIIa

Practice question

A 32-year-old postpartum patient with heavy bleeding unresponsive to uterine massage and oxytocin (10 IU IM) is 30 minutes post-delivery. What is the next recommended step in the first-line sequence?