What could be included in the postpartum bleeding control described in the material?

• A. Massage the abdomen and allow the baby to nurse
• B. Apply a tourniquet to the feet
• C. Leave the patient in Trendelenburg position
• D. Give the patient nothing by mouth

Answer: (A)

The main idea is to promote uterine contraction to stop postpartum bleeding. Fundal massage directly stimulates the uterus to contract, which compresses the vessels at the placental site and reduces bleeding. Allowing the baby to nurse also helps because nipple stimulation triggers a release of oxytocin, further strengthening uterine contractions and aiding hemostasis.

The other actions don’t address the underlying issue. A tourniquet on the feet doesn’t affect uterine bleeding, choosing Trendelenburg position isn’t a recommended method for controlling postpartum hemorrhage and can cause other problems, and giving nothing by mouth isn’t a method for stopping the bleeding.