Question

A 33-year-old woman delivers vaginally at term. Ten minutes after delivery of the placenta she has heavy vaginal bleeding estimated at 900 mL. Her uterus feels boggy on palpation. Blood pressure is 95/60 mmHg and pulse 120 bpm. What is the most appropriate immediate management?

Accepted Answer

Call for help, perform bimanual uterine compression and give intravenous oxytocin as part of the postpartum haemorrhage protocol

Answer

Insert a urinary catheter and wait to see if bleeding settles

Answer

Start oral tranexamic acid only

Answer

Discharge her to the postnatal ward with close observation

Answer

Give intramuscular methotrexate

Practice question

A 33-year-old woman delivers vaginally at term. Ten minutes after delivery of the placenta she has heavy vaginal bleeding estimated at 900 mL. Her uterus feels boggy on palpation. Blood pressure is 95/60 mmHg and pulse 120 bpm. What is the most appropriate immediate management?