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Exam questionKROK 2Medicine ยท 2021

In a woman in labor weighing 70 kg 40 minutes after birth, a large fetus (4500 g) appeared significant bloody discharge from the genital tract. Bladder emptying was performed and external uterine massage; after which the uterus contracted, but for 5 minutes bleeding recovered. After the introduction of uterotopics, manual examination of the uterine cavity blood loss was 1200 ml. What should be the next tactic?

Answer options

  1. Local hypothermia
  2. Curettage of the walls of the uterine cavity
  3. Continue the introduction of uterotonics
  4. Laparotomy. Uterine extirpation without appendages
  5. Compression of the abdominal aorta
Correct answer

Laparotomy. Uterine extirpation without appendages

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