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Postpartum haemorrhage from uterine atony — RCPSC EM MCQ

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ModerateOB/GYN emergenciesPostpartum haemorrhage from uterine atonyRCPSC EM

A 32-year-old delivers in the ED after an unplanned home birth. Ten minutes later she has heavy vaginal bleeding, BP 88/50, HR 134, and a boggy enlarged uterus. The 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: B — Perform uterine massage, give oxytocin, activate haemorrhage protocol, and call obstetrics

Postpartum haemorrhage from uterine atony requires uterine massage, uterotonic therapy, resuscitation and obstetric support.

Reference: SOGC Guideline No. 414 pregnancy of unknown location and ectopic pregnancy