Question

A 32-year-old multiparous woman delivers vaginally at term. Ten minutes after delivery of the placenta, she has heavy vaginal bleeding estimated at 900 mL. The uterus feels boggy and enlarged. What is the most appropriate immediate management?

Accepted Answer

Commence uterine massage and give oxytocin IV/IM

Answer

Administer high-dose IV oestrogen

Answer

Insert a cervical cerclage

Answer

Administer tranexamic acid alone

Answer

Observe as this is normal postpartum bleeding

Practice question

A 32-year-old multiparous woman delivers vaginally at term. Ten minutes after delivery of the placenta, she has heavy vaginal bleeding estimated at 900 mL. The uterus feels boggy and enlarged. What is the most appropriate immediate management?