A 26-year-old woman, 2 days postpartum, develops sudden heavy vaginal bleeding with clots soaking through pads every 10 minutes. She feels dizzy and u...

Question

A 26-year-old woman, 2 days postpartum, develops sudden heavy vaginal bleeding with clots soaking through pads every 10 minutes. She feels dizzy and unwell. BP is 88/56 mmHg and pulse 124 beats/min. What is the most appropriate immediate management?

Accepted Answer

Call obstetric emergency team, begin uterine massage and start intravenous fluids

Answer

Observe as this is normal postnatal lochia

Answer

Discharge with oral iron and review

Answer

Arrange outpatient ultrasound to look for retained products

Answer

Start oral Tranexamic acid alone and review in 24 hours

uk-plab-1 MCQ (SBA): Primary postpartum haemorrhage

A 26-year-old woman, 2 days postpartum, develops sudden heavy vaginal bleeding with clots soaking through pads every 10 minutes. She feels dizzy and unwell. BP is 88/56 mmHg and pulse 124 beats/min. What is the most appropriate immediate management?