<prompt> Massive PPH may warrant all interventions except:HysterectomyThermal endometrial ablationInternal iliac aery ligationBalloon tamponade  <response>: Thermal endometrial ablation is not used in the management of massive PPH. Mechanical methods for failed medical management: Bimanual compression Uterine packing under anaesthesia Bakri balloon: Maximun filling volume is 500 ml Shivkars Pack: Condom inflated with saline and tied to a nasogastric tube. Surgical methods for failed mechanical methods: B Lynch suture application Block suturesmultiple squaresHaymanCho squareGunshella suture Uterine and ovarian aery ligation Internal iliac aery ligation Hysterectomy if all the above fails, as a last reso Note: Thermal endometrial ablation is used to treat abnormal uterine bleeding. Ref: Williams Ostetrics 24th edition Pgno: 482 