Question

A 30-year-old woman delivers vaginally at term. Ten minutes after birth she has heavy vaginal bleeding estimated at 800 mL, with a soft, boggy uterus. What is the most appropriate immediate management?

Accepted Answer

Perform uterine massage and give IV or IM oxytocin

Answer

Begin methylergometrine infusion and ignore the uterus

Answer

Give high-dose tranexamic acid alone

Answer

Reassure; this is normal blood loss

Answer

Delay intervention until cross-matched blood is available

Practice question

A 30-year-old woman delivers vaginally at term. Ten minutes after birth she has heavy vaginal bleeding estimated at 800 mL, with a soft, boggy uterus. What is the most appropriate immediate management?