Question
A 21-year-old G1 now P1 just delivered after a prolonged induction of labor due to postdating. After the placental delivery, she continues to bleed excessively. Your initial intervention to address this bleeding is to activate the normal physiologic mechanisms. Which of the following is the most important hemostatic mechanism in combating postpartum hemorrhage?
| A. |
contraction of interlacing uterine muscle bundles |
| B. |
fibrinolysis inhibition |
| C. |
increased blood-clotting factors in pregnancy |
| D. |
intramyometrial vascular coagulation due to vasoconstriction |
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