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62309 Gynaecology & Obstetrics

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

APacking the uterus
BImmediate hysterectomy
CBilateral internal iliac ligation
DInjection of PGF 2∝
Gynaecology & Obstetrics
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