27-year-old Primigravida in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16607
SMLE Question #16607
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 27-year-old primigravida delivers vaginally at term. Within 30 minutes postpartum, she develops heavy vaginal bleeding estimated at >700 mL. Bimanual uterine massage and uterotonic therapy (oxytocin and prostaglandin analogs) do not control the bleeding. The obstetrician proceeds to operative management, and the patient wishes to preserve future fertility. Which structure should be ligated to most appropriately control the bleeding while preserving fertility?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.