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?
0.2-mg intramuscular (IM) ergonovine (Methergine)
20 units of IV oxytocin
10 units of oral oxytocin
250 mg prostaglandin F2-alpha orally
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.
Pregnancy induced Hypeension