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Persistent postpartum bleeding — DRCOG MCQ

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ModeratePostnatalPersistent postpartum bleedingDRCOG

A 34-year-old woman three weeks postpartum has ongoing heavy bleeding and pelvic pain after a difficult placenta delivery. What would you advise?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Pelvic ultrasound for retained products of conception

Pelvic ultrasound for retained products of conception is the best answer because the vignette is testing Persistent postpartum bleeding and the recommended approach is consistent with NICE NG194. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Take folic acid and vitamin D as recommended; Use venous thromboembolism precautions when travelling; Use condoms until follow-up is complete; Consider safer non-oestrogen contraception would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.

Reference: NICE NG194