Originally Posted by usmle2005

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 ---this one
C. hypogastric artery ligation
D. needle aspiration of the hematoma