A recent study in obstetric patients examined the effects of a policy change at an institution that moved from universal type and screen to selective type and screen based on risk stratification. According to this study, which of the following events MOST likely increased after instituting selective type and screen for only high-risk obstetric patients and not low- and medium-risk patients?
Postpartum hemorrhage is the leading cause of obstetric deaths worldwide. It accounted for 27% of maternal deaths worldwide in 2013 and 11.5% of maternal deaths in the United States between 2011 and 2014. The rise in the number of cesarean deliveries from approximately one-quarter of births in 1996 to approximately one-third in 2011 likely contributes to the rate of hemorrhage because cesarean delivery increases the risk of placenta previa and accreta. However, uterine atony remains the primary cause of postpartum hemorrhage. Hemorrhage is mostly a preventable cause of maternal...