Arab Board OB GYN Final Clinical & Oral Practice Questions - Arab Board Of Health Specializations (ABHS) Obstetrics & Gynecology Final Clinical And Oral Examination Exam

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A 32-year-old multigravida (G3P2) with refractory uterine atony continues to bleed following administration of oxytocin, ergometrine, tranexamic acid, and sublingual misoprostol. Vital signs show blood pressure 85/50 mmHg and pulse 122 bpm. Examination in the operating theater excludes genital tract lacerations and retained placental tissue. What is the most appropriate next conservative surgical or tamponade intervention?

Immediate subtotal abdominal hysterectomy Intrauterine balloon tamponade (e.g., Bakri balloon) Bilateral internal iliac (hypogastric) artery ligation B-Lynch uterine compression suture via laparotomy

Correct Answer:

Intrauterine balloon tamponade (e.g., Bakri balloon)

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