Paper II
2023 January (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Oxytocin / Methyl ergometrine in Postpartum hemorrhage. Name the following (Two examples for each): (8x1=8)

Q140.2 marksShort Answers

Answer

Oxytocin is the appropriate first-line choice — it produces controlled, effective uterine contraction to control postpartum hemorrhage with a favorable safety profile and is not contraindicated in hypertension. Methylergometrine causes sustained vasoconstriction and is contraindicated in hypertensive/pre-eclamptic patients, given the risk of a dangerous further rise in blood pressure; it is reserved as a second-line/adjunct agent for atonic PPH refractory to oxytocin, in normotensive patients.

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