A 28-year-old woman delivers vaginally after an uncomplicated labour. Thirty minutes later she has continued vaginal bleeding estimated at 900 mL. The...

Question

A 28-year-old woman delivers vaginally after an uncomplicated labour. Thirty minutes later she has continued vaginal bleeding estimated at 900 mL. The uterus feels boggy on palpation. What is the most appropriate initial management?

Accepted Answer

Uterine massage and intravenous oxytocin

Answer

Observe; this is normal postpartum lochia

Answer

Start high-dose oral iron therapy only

Answer

Immediate laparotomy without further assessment

Answer

Pack the vagina and ignore uterine tone

au-amc MCQ (SBA): Primary postpartum haemorrhage

A 28-year-old woman delivers vaginally after an uncomplicated labour. Thirty minutes later she has continued vaginal bleeding estimated at 900 mL. The uterus feels boggy on palpation. What is the most appropriate initial management?