Postpartum haemorrhage risk in labour — DRCOG MCQ
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Correct answer: C — Recommend active management of the third stage
Recommend active management of the third stage is the best answer because the vignette is testing Postpartum haemorrhage risk in labour and the recommended approach is consistent with NICE NG235. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Start combined hormonal contraception; Advise oral analgesia and routine follow-up; Arrange routine review in six weeks; Repeat the pregnancy test in one week would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.
Reference: NICE NG235