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Winograd RH et al. - In patients who are hemorrhaging, the initial intervention is resuscitation and stabilization. After vaginal delivery, massage, uterotonic drugs, cavity and soft tissue examination, bimanual compression, and tamponade of the uterus should be tried first. Arterial embolization can be performed before laparotomy if the woman is stable; it can also be performed during a cesarean section procedure, after compressive sutures, and if stepwise uterine devascularization fails.

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