30-year-old Woman in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#16881
SMLE Question #16881
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 30-year-old woman has heavy vaginal bleeding immediately after delivery following placental abruption. The uterus is firm and well contracted. There is persistent bleeding from the episiotomy and IV cannulation sites. Uterine massage and uterotonics have not controlled the bleeding. What is the most appropriate next step in management?
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