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Old 11-18-2004, 12:17 PM
usmle2005 usmle2005 is offline
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Join Date: Nov 2004
Posts: 18
Enlargement hematoma after episiotomy

You discovered a 10-cm enlarging hematoma adjacent to the episiotomy site in a patient whose baby you delivered 6 hours ago. The best management at this time is:

A. A perineal pad and cold compresses
B. removal of the sutures and clots, and reclosure
C. hypogastric artery ligation
D. needle aspiration of the hematoma
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