After delivery, a 28 year old pre ecclamptic primigra has a soft uterus with moderate-to-heavy bleeding. There is no laceration and there is PPH diagnosed due to uterine atony. Which of the following is the best management option?
Ergot derivatives should not be given in patients with hypeension since this is classically known to increase blood pressure. A high BP may provoke a post paum ecclampsia Oxytocin is not orally effective . Prostaglandin F2-alpha is given IM.
0.2-mg intramuscular (IM) ergonovine (Methergine)
20 units of IV oxytocin
10 units of oral oxytocin
250 mg prostaglandin F2-alpha orally
Pregnancy induced Hypeension