Medical MCQ-After delivery, a 28 year old pre ecclamptic primigra has a soft uterus with moderate-to-heavy bleeding. There is no laceration and there is PPH diagnosed due to uterine atony. Which of the following is the best management option?

After delivery, a 28 year old pre ecclamptic primigra has a soft uterus with moderate-to-heavy bleeding. There is no laceration and there is PPH diagnosed due to uterine atony. Which of the following is the best management option?

0.2-mg intramuscular (IM) ergonovine (Methergine)

20 units of IV oxytocin

10 units of oral oxytocin

250 mg prostaglandin F2-alpha orally

Question Category:

Gynaecology & Obstetrics

Correct Answer:

20 units of IV oxytocin

Description:

Ergot derivatives should not be given in patients with hypeension since this is classically known to increase blood pressure. A high BP may provoke a post paum ecclampsia Oxytocin is not orally effective . Prostaglandin F2-alpha is given IM.

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