28-year-old G2p2 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12454
SMLE Question #12454
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old G2P2 woman has a spontaneous vaginal delivery at term. Thirty minutes later, she develops heavy vaginal bleeding (estimated blood loss 1500 mL) despite uterine massage and IV oxytocin. Bimanual examination shows a soft, boggy uterus and no genital tract lacerations. Two large-bore IV lines are in place and blood products are being arranged. What is the most appropriate first-line procedural intervention to control postpartum hemorrhage due to uterine atony after failure of initial medical therapy?
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