Uterine Massage
 - First line treatment for uterine atony
 - Begin with firm massage of the uterine fundus through the abdominal wall
 - Advance to bimanual uterine compression if bleeding continues 
 - External hand compresses and massages uterus
 - Hand placed internally in fist to massage anterior aspect of uterus
 - Avoid downward massage with internal hand (can cause uterine inversion or injure blood vessels)


#Management #Postpartum #Hemorrhage #Bimanual #Uterine #Massage