Arab Board OB GYN Final Clinical & Oral Practice Questions - Arab Board Of Health Specializations (ABHS) Obstetrics & Gynecology Final Clinical And Oral Examination Exam

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A 28-year-old primigravida experiences brisk postpartum hemorrhage immediately after an uncomplicated vaginal delivery of a 3.9 kg neonate. Manual palpation reveals a soft, poorly contracted uterus above the umbilicus. After continuous bimanual uterine massage and 10 units of intravenous oxytocin infusion, uterine atony persists and total blood loss reaches 800 mL. The patient has a history of mild asthma. What is the most appropriate next pharmacologic agent?

Carboprost tromethamine (PGF2alpha) 250 mcg intramuscularly Ergometrine (Methylergonovine) 0.2 mg intramuscularly Misoprostol (PGE1) 800 mcg sublingually Tranexamic acid 1 g intravenously infused over 10 minutes

Correct Answer:

Ergometrine (Methylergonovine) 0.2 mg intramuscularly

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