Question

A 32-year-old woman delivers vaginally and has ongoing heavy vaginal bleeding with a boggy uterus 20 minutes after birth. Estimated blood loss is 900 mL. What is the most appropriate first-line uterotonic to administer?

Accepted Answer

Syntocinon (oxytocin) IV or IM

Answer

Ergometrine alone

Answer

Misoprostol only

Answer

Prostaglandin F2α only

Answer

No uterotonic; bleeding will settle spontaneously

Practice question

A 32-year-old woman delivers vaginally and has ongoing heavy vaginal bleeding with a boggy uterus 20 minutes after birth. Estimated blood loss is 900 mL. What is the most appropriate first-line uterotonic to administer?