This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
Massive PPH may warrant following interventions: 
Select and explain. 
A. Hysterectomy, B. Thermal endometrial ablation, C. Internal iliac A. ligation, D. Balloon tamponade
A: Hysterectomy
Answer: A: Hysterectomy 
Explanation: <p> As per WHO recommendations,if life threatening bleeding continues in case of postpaum hemorrhage, subtotal or total hysterectomy should be performed. Reference:Textbook of obstetrics,Sheila Balakrishnan,2nd edition, page no:401. <\p>