Birth Weight >4 Kg in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18438

SMLE Question #18438

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 38-year-old G10P10 woman delivers vaginally at 39 weeks after an uncomplicated labour. She has had six prior infants with birth weight >4 kg. After delivery, the placenta has not yet been delivered and there are no genital tract lacerations noted. The team plans active management of the third stage of labour to reduce postpartum bleeding. Which intervention is most appropriate to prevent postpartum haemorrhage?

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