Primary postpartum haemorrhage — DRCOG MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: D — Activate major-haemorrhage care with resuscitation, uterine massage and uterotonics
The best answer is “Activate major-haemorrhage care with resuscitation, uterine massage and uterotonics”. This is primary postpartum haemorrhage with shock and uterine atony. Emergency help, ABC resuscitation, blood products as indicated, uterine massage and prompt uterotonic treatment occur in parallel, with tranexamic acid and escalation according to response and the four causes. Investigation or definitive surgery must not delay immediate stabilisation and atony treatment.
Reference: RCOG Green-top Guideline No. 52: Prevention and Management of Postpartum Haemorrhage: https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/prevention-and-management-of-postpartum-haemorrhage-green-top-guideline-no-52/