CMSA FCOG(SA) Part II Practice Questions - Fellowship Of The College Of Obstetricians And Gynaecologists Of South Africa Part II Exam

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A 28-year-old primigravida at 38 weeks gestation develops severe postpartum hemorrhage following a precipitate vaginal delivery. After administration of Oxytocin 10 IU IM and Ergometrine 0.5 mg IM, her blood pressure is 150/100 mmHg and uterine atony persists. Which uterotonic agent is contraindicated in this patient?

Misoprostol 800 mcg sublingually or rectally Ergometrine 0.5 mg IV repeated Oxytocin 20 IU in 1000 mL Ringers Lactate IV infusion Carboprost (15-methyl PGF2a) 250 mcg IM

Correct Answer:

Ergometrine 0.5 mg IV repeated

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