Question

A 10-minute postpartum vaginal delivery is complicated by heavy bleeding, a boggy uterus and estimated blood loss of 900 mL. According to SOGC postpartum haemorrhage guidance, what is the most appropriate first-line management?

Accepted Answer

Initiate uterine massage and give oxytocin

Answer

Administer tranexamic acid only

Answer

Perform an immediate hysterectomy

Answer

Insert a uterine balloon tamponade as the first manoeuvre

Answer

Observe as this blood loss is normal

Practice question

A 10-minute postpartum vaginal delivery is complicated by heavy bleeding, a boggy uterus and estimated blood loss of 900 mL. According to SOGC postpartum haemorrhage guidance, what is the most appropriate first-line management?