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
- Local hypothermia
- Curettage of the walls of the uterine cavity
- Continue the introduction of uterotonics
- Laparotomy. Uterine extirpation without appendages
- Compression of the abdominal aorta
Correct answer
Laparotomy. Uterine extirpation without appendages
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