أي دواء لنزيف ما بعد الولادة يُتجنب عند المرأة المصابة بارتفاع ضغط الدم؟

Which drug for postpartum haemorrhage is avoided in a woman with hypertension?

1. Oxytocin
2. Tranexamic acid
3. Misoprostol
4. Methylergometrine

Answer: D) Methylergometrine. Methylergometrine causes vasoconstriction and raises BP, so it is avoided in hypertension and pre-eclampsia.