Uterine atony causing postpartum haemorrhage — MCCQE Part 1 MCQ
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Correct answer: A — Perform uterine massage and give oxytocin while initiating postpartum haemorrhage protocol
A boggy enlarged uterus immediately after delivery indicates uterine atony, the commonest cause of postpartum haemorrhage; uterine massage and oxytocin are first-line while activating haemorrhage support. Hysterectomy is a last-resort escalation after medical and conservative measures. Observation alone is unsafe in active haemorrhage.
Reference: https://mcc.ca/objectives/medical-experts/