Postpartum hemorrhage — MCQs

Q: A pregnant woman with a known case of asthma is experiencing postpartum hemorrhage (PPH). Which drug is contraindicated?

Carboprost. ***Carboprost*** - **Carboprost** is a **prostaglandin F2-alpha analog** that causes strong uterine contractions but also leads to **bronchoconstriction** and increased airway resistance. - Due to its potent bronchoconstrictive effects, **carboprost** is **absolutely contraindicated in patients with asthma** as it can precipitate a severe asthmatic attack. *Methyl ergometrine* - **Methyl ergometrine** is an **ergot alkaloid** that causes sustained uterine contractions and is effective for PPH. - It is contraindicated in patients with **hypertension** or **pre-eclampsia** due to its vasoconstrictive properties, but not typically in asthma. *Misoprostol* - **Misoprostol** is a **prostaglandin E1 analog** used for PPH management, causing uterine contractions. - It is generally safe for use in patients with asthma as it does not have significant bronchoconstrictive side effects. *Oxytocin* - **Oxytocin** is a first-line uterotonic agent for PPH, working by causing rhythmic uterine contractions. - It is generally considered safe in patients with asthma and is not known to exacerbate respiratory conditions.

Practice by Chapter

Definition and classification

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Risk factors for postpartum hemorrhage

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Uterine atony management

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Retained placenta management

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Genital tract trauma repair

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Coagulation disorders in obstetrics

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Medical management of PPH

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Surgical management of PPH

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Balloon tamponade techniques

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Uterine compression sutures

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Postpartum hemorrhage protocols

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Blood product replacement strategies

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Prevention of postpartum hemorrhage

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