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A 24-year-old multiparous woman who is 36/40 gestation, presents to triage in labour. She is transferred to the resus room and the nurse tells you the head is on show.

1. Outline four immediate actions during precipitous delivery. 4 marks

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The baby is delievered within minutes. The cord is clamped and cut.

2. State four principles of management of the third stage of labour. 4 marks

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The placenta is delivered but it appears incomplete and the patient has very heavy PV bleeding. The O+G team are busy in OT.

3. List four immediate actions in the management of postpartum haemorrhage. 4 marks

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