Question

A 28-year-old woman, 1 week postpartum, presents with heavy vaginal bleeding and uterine tenderness. Her pulse is 110 bpm and blood pressure 98/60 mmHg. You suspect secondary postpartum haemorrhage due to retained products or infection. What is the most appropriate initial management?

Accepted Answer

Resuscitate with ABC, give IV antibiotics and arrange urgent obstetric review

Answer

Reassure that heavy bleeding is normal after delivery

Answer

Start oral iron only and review in 2 weeks

Answer

Send a routine outpatient ultrasound scan request

Answer

Prescribe the combined oral contraceptive pill to regulate bleeding

Practice question

A 28-year-old woman, 1 week postpartum, presents with heavy vaginal bleeding and uterine tenderness. Her pulse is 110 bpm and blood pressure 98/60 mmHg. You suspect secondary postpartum haemorrhage due to retained products or infection. What is the most appropriate initial management?