skip to main content

Postpartum haemorrhage — RCPSC EM MCQ

Instant feedback + full explanation. One question, done properly.

ModerateOB/GYN emergenciesPostpartum haemorrhageRCPSC EM

A postpartum patient delivers in the ED and then has heavy bleeding. Uterus is boggy, BP 92/56, HR 128, estimated blood loss exceeds 1200 mL, and placenta appears complete. What is the most appropriate initial management?

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

Reveal the answer and explanation

Correct answer: A — Uterine massage, oxytocin, tranexamic acid, resuscitation and urgent obstetric help

A boggy uterus with heavy postpartum bleeding indicates uterine atony; treatment is uterine massage, uterotonics, TXA, resuscitation and escalation.

Reference: SOGC postpartum haemorrhage guidance