Sudden Severe Lower Abdominal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12375
SMLE Question #12375
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old G2P1 woman at 33 weeks’ gestation presents with sudden severe lower abdominal pain and continuous moderate bright red vaginal bleeding for 2 hours. She appears pale and dizzy. The uterus is tender and firm with no relaxation between contractions. Despite intravenous crystalloid resuscitation, hypotension persists and bleeding continues. What is the most appropriate next step in management?
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