28-year-old G1p1 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18612
SMLE Question #18612
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old G1P1 woman has a spontaneous vaginal delivery at 38 weeks. Thirty minutes later, the placenta has not delivered despite controlled cord traction and uterine massage. She has no significant vaginal bleeding and remains clinically stable. Which medication is the most appropriate next step to facilitate placental delivery?
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