A 32-year-old woman has a vaginal birth complicated by postpartum haemorrhage with an estimated blood loss of 900 mL due to uterine atony. Active thir...

Question

A 32-year-old woman has a vaginal birth complicated by postpartum haemorrhage with an estimated blood loss of 900 mL due to uterine atony. Active third-stage management has been used. After calling for help and commencing resuscitation, which uterotonic is first-line for treatment of postpartum haemorrhage in this setting?

Accepted Answer

Oxytocin 10 IU intramuscularly or slowly intravenously

Answer

Misoprostol 800 micrograms sublingually as sole therapy

Answer

Carbetocin infusion only

Answer

High-dose ergometrine alone in all women

Answer

No uterotonic is required if active management was used

au-racp MCQ (SBA): Postpartum haemorrhage - first-line uterotonic