A 24-Year-Old Primigravid Patient at 38 Weeks Gestation Undergoes Vaginal

A 24-year-old primigravid patient at 38 weeks gestation undergoes vaginal delivery of healthy twins after a prolonged labor course.  Shortly after the placenta is delivered, profuse vaginal bleeding and a boggy uterus are noted on examination.  Uterine massage and uterotonic medications fail to stop the bleeding.  The patient is taken to the operating room for a laparotomy.  Control of this patient's bleeding can best be achieved through bilateral ligation of which of the following arteries?

A) Common iliac
B) External iliac
C) Internal iliac
D) Internal pudendal
E) Ovarian

Correct Answer:

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