Postpartum haemorrhage — DipIMC MCQ

Correct answer: A — Massage the uterus, give uterotonic if authorised and arrange urgent transfer

Massage the uterus, give uterotonic if authorised and arrange urgent transfer is the best answer because uterine atony is a common cause of postpartum haemorrhage and needs uterine stimulation, uterotonic treatment and transfer. Delay intervention until arrival at hospital is less appropriate because delay is unsafe when a reversible pre-hospital threat is present; Transport without treating the identified time-critical problem is less appropriate because movement alone may not reverse the immediate physiology. Give a large crystalloid bolus before controlling the injury and Perform a full secondary survey before treating the abnormality are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: JRCALC Guidelines; RCOG Postpartum Haemorrhage guidance