A woman delivers vaginally and the placenta is delivered completely. She continues to bleed heavily despite a well-contracted uterus. On examination, a cervical laceration is seen with active bleeding. The appropriate management is:
- A Oxytocin infusion
- B Suturing the laceration ✓
- C Uterine massage
- D Hysterectomy
Correct answer: B. Suturing the laceration
Explanation
When the uterus is well-contracted but bleeding continues, a genital tract cause (laceration) must be suspected. The appropriate management is to identify and suture the laceration. Oxytocin and uterine massage are ineffective when the cause is a laceration. Hysterectomy is not indicated for a repairable laceration.
Reference: Dutta's Textbook of Obstetrics, 9th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.