This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
Which of the following is not used in DIC in pregnancy? 
Select and explain. 
A. Epsilon-aminocaproic acid and heparin, B. Blood transfusion, C. Intravenous fluids, D. None of the above
A: Epsilon-aminocaproic acid and heparin
Answer: A: Epsilon-aminocaproic acid and heparin 
Explanation: Epsilon-aminocaproic acid and heparin is not used in the treatment of disseminated intravascular coagulation (DIC) Evaluation and management of DIC: Identification of defective hemostasis Bioassay: Persistent bleeding from venipuncture sites, trauma from bladder catheterization, generalized oozing from the skin and subcutaneous and fascial tiisues. Prompt identification and removal of the source of coagulopathy: Emergent delivery preferably vaginal delivery Vigourous restoration and maintanence of circulation to treat hypotension Crystalloids and colloids to treat hypotension Whole blood and packed cells Fresh frozen plasma: Contains fibrinogen; antithrombin III; factors V, XI, XII Cryoprecipitate: Contains fibrinogen; factor VIII, von willebrand&;s factor, and factor XIII Platelet replacement if low. Ref: williams obstetrics 24th edition PGno: 810