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Gynaecology & Obstetrics General 50a8e696

A 30 year old woman pare 6 delivers vaginally following normal labour with spontaneous delivery of an intact placenta. Excessive bleeding continues, despite manual exploration, bimanual massage, intravenous oxytocin and administration of 0.2 mg methergin IV, which one of the following would be the next step in the management of this patient :

A
Packing the uterus
B
immediate hysterectomy
C
Bilateral internal iliac ligation
D
Injection of PGF 2a
High-Yield Explanation
Injection of PGF 2a

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