A postpartum patient delivered 20 minutes ago and now has BP of 84/60, HR of 128, and ongoing vaginal bleeding. After uterine massage and oxytocin, bleeding continues. This is BEST described as:
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A
Refractory postpartum hemorrhage requiring ALS-level intervention and rapid transport
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B
Normal lochia rubra within the first hour
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C
Secondary postpartum hemorrhage unrelated to uterine atony
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D
Hypovolemic shock from placenta previa