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6150 Gynaecology & Obstetrics

A 35-year-old grand multipara starts bleeding profusely soon after delivery. Following steps were done:* IV lines secured* Resuscitation commenced* Oxytocins given* Balloon tamponade doneWhile these steps were being done 4 units of blood were transfused. But still her vitals are:BP = 80/50 mm of HgP/R = 130 beats/minuteWhat is the next step in management?

AInsert B lynch suture
BLigate internal iliac artery
CPerform hysterectomy
DTransfuse factor Vila
Gynaecology & Obstetrics
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