Question:
Atonic postpartum hemorrhage is not responding to medical management. What is the next best step?
Atonic postpartum hemorrhage is not responding to medical management. What is the next best step?
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Atonic PPH not controlled by medicines: think of Bakri balloon tamponade before major surgery.
Updated On: May 14, 2026
- Uterine devascularization
- Hysterectomy
- Bakri balloon tamponade
- Compression suture
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The Correct Option is C
Solution and Explanation
Concept:
Atonic postpartum hemorrhage is initially treated with uterotonics and uterine massage. If medical management fails, a conservative mechanical method such as balloon tamponade is often the next step before surgical procedures.
Step 1: Identify the cause.
The cause is atonic PPH, meaning the uterus is not contracting properly.
Step 2: Understand failed medical management.
If uterotonics fail, the next step should be a conservative intervention to control bleeding.
Step 3: Choose the next best option.
Bakri balloon tamponade applies pressure inside the uterine cavity and helps stop bleeding. Therefore, the correct answer is Bakri balloon tamponade.
Step 1: Identify the cause.
The cause is atonic PPH, meaning the uterus is not contracting properly.
Step 2: Understand failed medical management.
If uterotonics fail, the next step should be a conservative intervention to control bleeding.
Step 3: Choose the next best option.
Bakri balloon tamponade applies pressure inside the uterine cavity and helps stop bleeding. Therefore, the correct answer is Bakri balloon tamponade.
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