A 27-year-old woman has a normal vaginal birth complicated by a postpartum haemorrhage due to uterine atony. Estimated blood loss is 900 mL and the ut...

Question

A 27-year-old woman has a normal vaginal birth complicated by a postpartum haemorrhage due to uterine atony. Estimated blood loss is 900 mL and the uterus feels boggy. What is the recommended first-line uterotonic drug for active management of primary postpartum haemorrhage?

Accepted Answer

Intravenous oxytocin 5 IU

Answer

Intramuscular ergometrine 500 micrograms

Answer

Oral misoprostol 800 micrograms

Answer

Intramuscular carboprost 250 micrograms

Answer

High-dose tranexamic acid alone

au-acem MCQ (SBA): Primary postpartum haemorrhage

A 27-year-old woman has a normal vaginal birth complicated by a postpartum haemorrhage due to uterine atony. Estimated blood loss is 900 mL and the uterus feels boggy. What is the recommended first-line uterotonic drug for active management of primary postpartum haemorrhage?