A 34-year-old woman has a normal vaginal delivery complicated by a postpartum haemorrhage of 900 mL due to uterine atony. She is conscious, with blood...

Question

A 34-year-old woman has a normal vaginal delivery complicated by a postpartum haemorrhage of 900 mL due to uterine atony. She is conscious, with blood pressure 110/70 mmHg and tachycardia 110 bpm. The placenta has been delivered. What is the most appropriate immediate management?

Accepted Answer

Begin uterine massage and give IV Oxytocin (or Syntocinon infusion)

Answer

Start high-dose IV Hydrocortisone

Answer

Perform a Caesarean section urgently

Answer

Prescribe oral Tranexamic acid and discharge

Answer

Insert a copper intrauterine device

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

A 34-year-old woman has a normal vaginal delivery complicated by a postpartum haemorrhage of 900 mL due to uterine atony. She is conscious, with blood pressure 110/70 mmHg and tachycardia 110 bpm. The placenta has been delivered. What is the most appropriate immediate management?