This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Pathology of Conception, Subject name: Gynaecology & Obstetrics
Which of the following is included in the III step of management of atonic uterus? 
Select and explain. 
A. IV Calcium Gluconate, B. Uterine Massage and bimanual compression, C. Balloon tamponade, D. Per rectal PGE1
B: Uterine Massage and bimanual compression
Answer: B: Uterine Massage and bimanual compression 
Explanation: Ans is 'b' i.e., Uterine Massage and bimanual compression Steps in management of atonic uterusIMassage uterus, injection oxytocin, foleys catheter insertion to keep bladder empty, examine expelled placenta and membranesIIExploring uterus under GA, IM inj 15 methyl PGE2 alpha, per rectal PGE1, IV calcium glucon ate if atony secondary to tocolytic agent)IIIUterine Massage and bimanual compressionIVUterine tamponade - tight uterine packing, balloon tamponade