Secondary postpartum haemorrhage — DRCOG MCQ

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HardPostnatalSecondary postpartum haemorrhageDRCOG

Ten days after birth, a woman has heavy bleeding, fever and lower abdominal pain. What is the most appropriate management?

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Correct answer: A — Arrange same-day obstetric assessment

Heavy bleeding, fever and abdominal pain in the puerperium can indicate secondary postpartum haemorrhage, retained products or infection. She requires urgent same-day obstetric assessment rather than isolated outpatient treatment.

Reference: NICE NG194: Postnatal care: https://www.nice.org.uk/guidance/ng194/chapter/recommendations