In Couvelaire uterus (uteroplacental apoplexy) complicating severe placental abruption, the management includes all of the following EXCEPT:

• A Correction of consumptive coagulopathy with blood products
• B Immediate caesarean section if fetal compromise present
• C Hysterectomy is mandatory regardless of uterine tone ✓
• D Oxytocin infusion to maintain uterine contraction postdelivery

Explanation

Couvelaire uterus refers to extravasation of blood into the myometrium causing a blue, purplish discolouration. Hysterectomy is NOT mandatory; the uterus may contract satisfactorily after delivery and correction of coagulopathy. Hysterectomy is reserved for cases with intractable atony or uncontrolled haemorrhage despite uterotonic agents. DIC correction and active management of third stage are always required.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.