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7164 Gynaecology & Obstetrics

A low risk primigravida underwent vaginal delivery with episiotomy. 2 hours after delivery patient appears pale, PR 110/min BP is 90/60 but there is no apparent PPH. PV examination shows a bulge over episiotomy stitch line. Hb shows a drop in Hb from 9 gm% to 7 gm%. Management is?

ABlood and fluid transfusion with IV antibiotics
BBlood transfusion and cold compression of episiotomy
CImmediate exploration of episiotomy and blood transfusion
DCervical exploration with uterotonics with blood transfusion
Gynaecology & Obstetrics
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