Uterine Massage in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17863

SMLE Question #17863

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 32-year-old G7P6 woman is in active labor at 39 weeks in a delivery unit. She reports that each prior delivery involved a large neonate. After one previous delivery, she had heavy bleeding that improved with uterine massage and required no transfusion. The team plans active management of the third stage of labor to reduce the risk of postpartum hemorrhage from uterine atony. Which uterotonic medication should be given prophylactically immediately after delivery of the anterior shoulder or placenta?

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