This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Contra-indications to ergometrine are all except: March 2008 
Select and explain. 
A. Suspected multiple pregnancy, B. Cardiac problems, C. Atonic uterine bleeding, D. Rh-negative mother
C: Atonic uterine bleeding
Answer: C: Atonic uterine bleeding 
Explanation: Ans. C: Atonic Uterine Bleeding Ergometrine directly acts on the myometrium.It excites uterine contractions which comes on so frequently that uterus passes into a state of spasm. It is used to stop atonic post-paum haemorrhage Contraindications to ergometrine are: Suspected plural pregnancy Organic hea disease Severe pre-eclampsia and eclampsia Rh negative mother