At a basic health unit, a woman continues to have life-threatening postpartum haemorrhage while arrangements are made for transfer. Uterine massage and medicines have not controlled the bleeding. Which temporary action can help reduce blood loss during referral?
Correct answer: A. Apply external aortic compression
- A. Apply external aortic compression
- B. Place the woman flat on her back
- C. Encourage oral fluids only
- D. Apply a warm pack to the abdomen
Explanation
External aortic compression can temporarily reduce blood flow to the pelvis during severe postpartum haemorrhage when definitive care is not immediately available. It is a bridge to urgent referral, not a replacement for blood products, uterotonics, or surgical treatment.
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About Obstetric Emergencies
Acute threats to the mother or fetus include postpartum haemorrhage, eclampsia, shock, cord prolapse, shoulder dystocia, uterine rupture, amniotic fluid embolism and fetal distress. The subject covers rapid assessment, airway and circulation support, emergency medicines, positioning, preparation for assisted or operative birth, and coordinated referral.
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50 free Obstetric Emergencies MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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