A 29-year-old woman has a vaginal delivery complicated by estimated blood loss of 1300 mL and tachycardia. According to the 2022 SOGC postpartum haemo...

Question

A 29-year-old woman has a vaginal delivery complicated by estimated blood loss of 1300 mL and tachycardia. According to the 2022 SOGC postpartum haemorrhage guideline, what is the first-line uterotonic recommended after oxytocin infusion has already been started and atony persists?

Accepted Answer

Methylergonovine (if no hypertension)

Answer

High-dose intravenous oestrogen

Answer

Tranexamic acid only

Answer

Misoprostol per rectum as the sole uterotonic

Answer

No additional uterotonic; observe

ca-mccqe1 MCQ (SBA): Postpartum haemorrhage

A 29-year-old woman has a vaginal delivery complicated by estimated blood loss of 1300 mL and tachycardia. According to the 2022 SOGC postpartum haemorrhage guideline, what is the first-line uterotonic recommended after oxytocin infusion has already been started and atony persists?