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Postpartum haemorrhage — RCPSC EM MCQ

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HardOB/GYN emergenciesPostpartum haemorrhageRCPSC EM

A 33-year-old woman has heavy bleeding 20 minutes after vaginal delivery in the ED. Uterus is boggy, blood loss is estimated at 1200 mL, blood pressure is 88/52 mmHg, and placenta appears complete. What is the most appropriate initial management?

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

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Correct answer: A — Uterine massage, oxytocin, tranexamic acid, and massive haemorrhage response

Postpartum haemorrhage from uterine atony is managed with uterine massage, uterotonics, early tranexamic acid, haemorrhage resuscitation, and obstetric escalation.

Reference: SOGC postpartum haemorrhage guidance