How do you control post-birth bleeding according to the material?

• A. Lower legs and keep them together, elevate her feet
• B. Raise the legs above the head
• C. Lie the patient flat on the back
• D. Apply ice packs to perineum

Answer: (A)

Positioning to support circulation is the main idea here. Elevating the patient’s legs while she is on her back helps shift blood from the legs toward the central circulation, increasing venous return to the heart and helping maintain blood pressure during postpartum hemorrhage until definitive care can be provided. Keeping the legs together also supports comfort and reduces further strain. This simple adjustment buys time and improves perfusion as you arrange transport and other interventions. Raising the legs higher than the head isn’t recommended because it can compromise breathing and isn’t necessary for improving venous return in this situation. Lying flat without leg elevation offers less benefit for perfusion, and applying ice packs to the perineum targets local bleeding rather than the major postpartum hemorrhage.