Pitocin 10 mg in 1000 mL of crystalloid intravenous solution.
Pitocin is the first line of treatment for immediate postpartum bleeding and to achieve uterine contractility. If pitocin seems to be failing, methergine and prostaglandin F2a should be used. Levothyroxine is for hypothyroidism management, not for a catastrophic obstetrical hemorrhage. Leuprolide acetate is for myoma management.
REFERENCE 2. OLeary JL, OLeary JA. Uterine artery ligation for control of post cesarean section hemorrhage. Obstet Gynecol 1974;43:84953.