Which non-pharmacologic intervention is included in the postpartum hemorrhage protocol?

Which non-pharmacologic intervention is included in the postpartum hemorrhage protocol?

• A. Intravenous Fluids
• B. Uterine Massage
• C. Epidural Anesthesia
• D. Manual Bladder Expression

Answer: (B)

Fundal massage is the non-pharmacologic measure included in the postpartum hemorrhage protocol. By gently massaging the uterus, you stimulate contractions and help it firm up, which compresses bleeding vessels and reduces blood loss. This immediate, bedside action can be done while arranging pharmacologic treatments like uterotonics. Other options don’t address the bleeding in the same way: epidural anesthesia is for pain control, not hemorrhage management; manual bladder expression isn’t a standard step for stopping postpartum bleeding; intravenous fluids help support circulation but don’t directly stop the uterine bleed.

Fundal massage is the non-pharmacologic measure included in the postpartum hemorrhage protocol. By gently massaging the uterus, you stimulate contractions and help it firm up, which compresses bleeding vessels and reduces blood loss. This immediate, bedside action can be done while arranging pharmacologic treatments like uterotonics. Other options don’t address the bleeding in the same way: epidural anesthesia is for pain control, not hemorrhage management; manual bladder expression isn’t a standard step for stopping postpartum bleeding; intravenous fluids help support circulation but don’t directly stop the uterine bleed.