A 30 year old woman delivers vaginally after an uncomplicated pregnancy. Ten minutes after birth, she develops heavy vaginal bleeding estimated at 120...

Question

A 30 year old woman delivers vaginally after an uncomplicated pregnancy. Ten minutes after birth, she develops heavy vaginal bleeding estimated at 1200 mL, tachycardia and hypotension. The uterus feels boggy on palpation. What is the most appropriate immediate management step?

Accepted Answer

Begin uterine massage and administer intravenous oxytocin while calling for help

Answer

Start high dose NSAIDs

Answer

Observe for another 30 minutes before intervening

Answer

Transfer her to the ward because the placenta has delivered

Answer

Give oral iron supplementation and discharge when stable

ca-mccqe1 MCQ (SBA): Postpartum haemorrhage

A 30 year old woman delivers vaginally after an uncomplicated pregnancy. Ten minutes after birth, she develops heavy vaginal bleeding estimated at 1200 mL, tachycardia and hypotension. The uterus feels boggy on palpation. What is the most appropriate immediate management step?