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Postpartum haemorrhage — RCPSC EM MCQ

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HardOB/GYN emergenciesPostpartum haemorrhageRCPSC EM

CTAS 1. A 31-year-old arrives 40 minutes after home delivery with heavy bleeding. BP is 84/50, HR 146, uterus is boggy above the umbilicus, and estimated blood loss exceeds 1.5 L. Two IV lines are placed. What is the most appropriate next step?

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

Postpartum haemorrhage from uterine atony requires immediate uterotonic therapy, uterine massage, tranexamic acid, resuscitation, and obstetric escalation.

Reference: SOGC postpartum haemorrhage guidance; WHO PPH guideline