A patient develops atonic PPH after vaginal delivery. Oxytocin infusion and uterine massage have failed. The next step in management according to WHO guidelines is:
- A B-Lynch suture
- B Ergometrine 0.2 mg IV ✓
- C Misoprostol 800 mcg sublingual
- D Uterine balloon tamponade
Correct answer: B. Ergometrine 0.2 mg IV
Explanation
WHO recommends a stepwise approach for atonic PPH. After oxytocin and uterine massage fail, the next step is additional uterotonics (ergometrine or misoprostol). Ergometrine 0.2 mg IV is preferred if available. B-Lynch suture and balloon tamponade are third-line interventions after uterotonics fail.
Reference: WHO Recommendations for Prevention and Treatment of Postpartum Haemorrhage, 2012 ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.