From the Editor

Act fast when confronted by a coagulopathy postpartum

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At the conclusion of your repair, the patient is no longer bleeding.

A final coagulation profile shows: hemoglobin, 9.1 g/dL; platelet count, 100 X 103 μL; PT, 16.6 sec; INR, 1.3; PTT, 36 sec; and fibrinogen, 210 mg/dL. The patient is discharged on the third postpartum day.

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What were the key clinical interventions that helped you save the life of a woman who had a severe coagulopathy postpartum?

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