A 29-year-old woman delivers vaginally and has ongoing heavy bleeding 30 minutes later. Estimated blood loss is 1200 mL, pulse 120 beats/min, BP 90/55...

Question

A 29-year-old woman delivers vaginally and has ongoing heavy bleeding 30 minutes later. Estimated blood loss is 1200 mL, pulse 120 beats/min, BP 90/55 mm Hg. Uterus is boggy. What is the most appropriate first-line pharmacologic treatment?

Accepted Answer

High-dose IV oxytocin infusion after uterine massage

Answer

High-dose IV tranexamic acid only

Answer

Misoprostol rectally as sole treatment

Answer

Reassure that this is normal postpartum lochia

Answer

Start broad-spectrum antibiotics only

ca-mccqe1 MCQ (SBA): Postpartum haemorrhage

A 29-year-old woman delivers vaginally and has ongoing heavy bleeding 30 minutes later. Estimated blood loss is 1200 mL, pulse 120 beats/min, BP 90/55 mm Hg. Uterus is boggy. What is the most appropriate first-line pharmacologic treatment?