Postpartum haemorrhage — DipIMC MCQ

Correct answer: B — Massage the uterus, give uterotonic per protocol and arrange urgent transfer

Option B is correct because Atonic postpartum haemorrhage is treated with uterine massage, uterotonics where available and rapid escalation. Option A is less appropriate because watchful waiting risks deterioration or delays definitive care; option D is less appropriate because the clinical risk exceeds that destination or timeframe. Option E is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option C is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines; Resuscitation Council UK; PROMPT principles