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Postpartum hemorrhage from uterine atony — ABEM Board MCQ

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HardOB/GYN emergenciesPostpartum hemorrhage from uterine atonyABEM Board

A 29-year-old woman presents as triage level 1 two hours after delivery with heavy vaginal bleeding. Uterus is boggy, BP is 84/46 mm Hg, HR is 138/min, and estimated blood loss exceeds 1,200 mL. Which of the following is the most important immediate intervention?

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

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Correct answer: B — Fundal massage, oxytocin, massive hemorrhage response, and escalation to additional uterotonics

Uterine atony is the most common cause of postpartum hemorrhage and requires immediate uterine massage, uterotonics, and resuscitation.

Reference: ACOG postpartum hemorrhage guidance; ABEM EM Model