A 25-year-old multiparous woman at 39 weeks of gestation undergoes a vaginal delivery for a 4500-g baby. A few minutes after the delivery of the placenta, the patient has massive vaginal bleeding, with a soft uterus felt on abdominal examination. The patient was started on uterotonic medications and uterine massage. The previous measures failed to control the bleeding. The patient is taken for emergency laparotomy. Emergency bilateral ligation of which of the following arteries would stop the bleeding?

Question

Quizplus · Accepted Answer

Eductional Objective: Postpartum hemorrhage is one of the causes of postpartum mortality. The most common cause is uterine atony. Bilateral ligation of the internal iliac could be used to preserve fertility in cases that fail conservative measures.

A 25-Year-Old Multiparous Woman at 39 Weeks of Gestation Undergoes