Paper II — 2022 July (Supplementary) (2019 Scheme) — Q13

Paper II

2022 July (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Oxytocin / Ergometrine for Post-partum haemorrhage

Q130.2 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. Ergometrine 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.

Related Concepts

1. 1Antihypertensives

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