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
