A 28-year-old primigravida has just delivered a healthy full-term infant vaginally. Approximately 10 minutes after delivery, she experiences heavy vaginal bleeding with clots. Her uterus is boggy and above the umbilicus. Her blood pressure is 90/50 mmHg, and heart rate is 110 bpm. What is the most appropriate initial intervention?
✓ Correct Answer: Option B
The most common cause of postpartum hemorrhage is uterine atony. The initial management involves bimanual uterine massage and compression to stimulate uterine contraction and express clots, along with pharmacologic uterotonics like oxytocin.