A 29-year-old woman delivers vaginally at term. Thirty minutes after delivery of the placenta, she has heavy vaginal bleeding with clots; her uterus i...

Question

A 29-year-old woman delivers vaginally at term. Thirty minutes after delivery of the placenta, she has heavy vaginal bleeding with clots; her uterus is soft and boggy above the umbilicus. Vital signs show tachycardia and mild hypotension. What is the most appropriate immediate management step?

Accepted Answer

Begin vigorous uterine massage and administer oxytocin

Answer

Administer tranexamic acid only

Answer

Perform immediate laparotomy

Answer

Administer broad-spectrum intravenous antibiotics

Answer

Insert an intrauterine balloon tamponade before medical therapy

ca-mccqe1 MCQ (SBA): Postpartum haemorrhage

A 29-year-old woman delivers vaginally at term. Thirty minutes after delivery of the placenta, she has heavy vaginal bleeding with clots; her uterus is soft and boggy above the umbilicus. Vital signs show tachycardia and mild hypotension. What is the most appropriate immediate management step?