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Gynaecology & Obstetrics Pathology of Conception 8cdb12bd

Which of the following is included in the III step of management of atonic uterus?

A
IV Calcium Gluconate
B
Uterine Massage and bimanual compression
C
Balloon tamponade
D
Per rectal PGE1
High-Yield Explanation
Ans is 'b' i.e., Uterine Massage and bimanual compression Steps in management of atonic uterusIMassage uterus, injection oxytocin, foleys catheter insertion to keep bladder empty, examine expelled placenta and membranesIIExploring uterus under GA, IM inj 15 methyl PGE2 alpha, per rectal PGE1, IV calcium glucon ate if atony secondary to tocolytic agent)IIIUterine Massage and bimanual compressionIVUterine tamponade - tight uterine packing, balloon tamponade

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