A 30-year-old woman para 6 delivers vaginally following normal labour with spontaneous delivery of an intact placenta. Excessive bleeding continues, despite manual exploration, bimanual massage, intravenous oxytocin and adminis-tration of 0.2 mg methergin IV, which one of the following would be the next step in the management of this patient:
Packing the uterus Immediate hysterectomy Bilateral internal iliac ligation Injection of PGF 2∝