A woman develops PPH with estimated blood loss of 1500 mL following vaginal delivery. Her pulse is 120/min and BP 85/55 mmHg. Initial fluid resuscitation with 2 liters crystalloid has been given. According to the RCOG guideline, the threshold for activating a major hemorrhage protocol is blood loss exceeding:
- A 500 mL
- B 1000 mL
- C 1500 mL ✓
- D 2000 mL
Correct answer: C. 1500 mL
Explanation
RCOG recommends activating a major obstetric hemorrhage protocol when blood loss exceeds 1500 mL or when there are clinical signs of shock. 500 mL is the threshold for PPH diagnosis after vaginal delivery, but massive hemorrhage protocol activation requires the higher threshold or hemodynamic compromise.
Reference: RCOG Green-top Guideline No. 52, 2016 (revised 2017) ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.