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Gynaecology & Obstetrics
A P5 female bleeds profusely after delivery of the placenta. You initiate IV fluids with Oxytocin. However, the patient continues to bleed over the next 10 min even after adequate uterine massage. On examination, she is tachycardic, hypotensive and the uterus is soft and boggy. What is the next step of management?
Ligation of internal iliac aeries
Carry out balloon tamponade
Ligation of uterine aeries
Hysterectomy
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