MBBS OSCE · Obstetrics & Gynaecology

Primary postpartum haemorrhage — emergency OSCE

OSCE on PPH: call for help, 4 Ts, uterotonic ladder with contraindications, TXA, escalation.

10 min stationVerification in progress
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NEET-PGINICET

Candidate instructions

Lead the initial management of primary PPH. Verbalise actions, drugs, and escalation.

Candidate tasks

  1. Call for help and assign roles.
  2. ABC, IV access, bloods/crossmatch, MOH protocol.
  3. Rub up uterus, catheterise, inspect placenta and genital tract.
  4. Give uterotonics correctly with contraindications.
  5. Give TXA 1 g IV; escalate to balloon/surgery if needed.

Examiner checklist

  • Defines major PPH / recognises shock
  • States 4 Ts
  • Oxytocin correctly; avoids ergometrine if hypertensive; avoids carboprost if asthmatic
  • TXA 1 g within 3 h
  • Parallel resuscitation and mechanical measures
  • Clear escalation to balloon / B-Lynch / hysterectomy
  • Communication with patient/partner

Model standard

Atony first if boggy: bimanual compression + oxytocin ± further uterotonics + TXA; simultaneous trauma/tissue/thrombin check; activate massive obstetric haemorrhage pathway; escalate without delay.

Common errors

  • Ergometrine in pre-eclampsia
  • No TXA
  • Fixating on one T only
Primary postpartum haemorrhage — emergency OSCE · MBBS OSCE · NeetVellum