Which procedure will help in the management of atonic PPH?

Correct option is B

Sol. In atonic postpartum hemorrhage (PPH), the uterus fails to contract after delivery, causing heavy bleeding. Bimanual compression of the uterus is a critical first-aid maneuver that helps stimulate uterine contractions and reduce blood loss by applying pressure from inside the vagina and externally over the abdomen. It is often performed while preparing for other interventions or medications like oxytocin.
Explanation of each option:
· (a) Uterine muscle dilators – Not applicable in PPH; dilators are used during labor induction or procedures like D&C. They can worsen bleeding if used improperly.
· (b) Bimanual compression of uterus – Correct Answer. A first-line emergency intervention that physically compresses the uterus to promote contraction and tamponade bleeding.
· (c) Suturing of cervical and vaginal tears – Useful in traumatic PPH, not atonic PPH, where bleeding is due to uterine atony, not tissue laceration.
· (d) Intra vaginal packing – Can help in some bleeding cases, but not a primary method for atonic uterus. It is usually secondary and used in combination with uterotonics.