Uterine Atony in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#12181
SMLE Question #12181
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 30-year-old woman (G2P2) delivers a healthy term infant by spontaneous vaginal delivery. Ten minutes later, she has brisk vaginal bleeding estimated at 900 mL. On bimanual examination, the uterus is soft and boggy. Bimanual uterine massage is started, and two large-bore IV cannulas are placed. She has no history of hypertension, asthma, or cardiovascular disease. Which uterotonic agent is the most appropriate first-line treatment for uterine atony in this setting?
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