A 30 year old woman pare 6 delivers vaginally following normal labour with spontaneous delivery of an intact placenta. Excessive bleeding continues, despite manual exploration, bimanual massage, intravenous oxytocin and administration of 0.2 mg methergin IV, which one of the following would be the next step in the management of this patient :: (A) Packing the uterus, (B) immediate hysterectomy, (C) Bilateral internal iliac ligation, (D) Injection of PGF 2a
Answer is D. Injection of PGF 2a