A 34-year-old woman is reviewed 18 hours after an emergency caesarean section complicated by a 1.6 L postpartum haemorrhage. The bleeding has been controlled for 12 hours, her haemoglobin is 82 g/L (115–155), platelet count is 155 × 10⁹/L (150–400), and she has no neuraxial catheter or renal impairment. She has a body mass index of 38 kg/m² and a previous unprovoked deep-vein thrombosis. Which one of the following is the most appropriate next step?
Keep going — a set of ten like this one, one at a time.
Practise moreMore from Obstetrics and Gynaecology
See allA 32-year-old woman attends for the result of her first cervical screening test under the renewed National Cervical Screening Program. She is asymptomatic and h…
Clinical rotations · common
A 24-year-old woman with seven weeks of amenorrhoea and a positive home pregnancy test presents with two days of left-sided lower abdominal pain and light vagin…
Pre-internship · middle twist
A 34-year-old woman at 33 weeks in her third pregnancy, who smokes and has chronic hypertension, presents with two hours of constant severe abdominal pain that…
Pre-internship · middle twist
A 31-year-old woman in her first pregnancy presents at 36 weeks with a frontal headache and "flashing lights" for six hours. Her blood pressure was 11…
Pre-internship · common
A 32-year-old woman shares a bedroom with her partner, who has been admitted with laboratory-confirmed meningococcal meningitis. She has no fever or rash and fe…
Clinical rotations · middle twist