After 10min the patient presented with abundant transvaginal bleeding and was therefore evaluated by the treating doctors who started crystalloid treatment and a bolus of 10 units of oxytocin in continuous infusion; however, the patient continued to bleed and an I.M. dose of methylergonovine was administered, with no favorable response.
A los 10minutos la paciente presenta sangrado transvaginal abundante, por lo cual es valorada por parte del servicio tratante, quien inicia tratamiento con cristaloides y bolo de 10unidades de oxitocina manteniendo una infusión continua; sin embargo, tras la persistencia del sangrado administran una dosis intramuscular de metilergonovina, sin obtener una respuesta favorable.