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Gynaecology & Obstetrics General 8b193fae

All of the following drugs are used in the treatment of postpaum haemorrhage, EXCEPT:

A
Misoprostol
B
Mifepristone
C
Carboprost
D
Methyl ergometrine
High-Yield Explanation
Drugs used in the treatment of postpaum hemorrhage are oxytocin, methylergonovine, misoprostol and carboprost. Pharmacologic treatment of postpaum hemorrhage focuses on promoting uterine contraction and correcting coagulopathies. Primary postpaum hemorrhage occurs with 24 hours of delivery and secondary PPH occur after first 24 hours and up to 6 weeks postpaum. Initial treatment of PPH includes aggressive fluid resuscitation, identification and treatment of the underlying cause. In severe hemorrhage, blood transfusion may be needed. Then look for signs of laceration or retained products of conception. Ref: Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e chapter 104.

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