11 Apr 2007 This surgical technique can be performed quickly and does not seem to decrease fertility. is generally controlled by uterine bimanual compression, uterine massage and of vascular ligation of the uterine vessels and internal iliac arteries. After bimanual compression of the uterus for a few minutes, four 11. Okt. 2017 Results suggest that bimanual uterine compression is more effective when performed by a team, with a primary attendant maintaining internal lower uterine segment pressure and monitoring the patient's condition and a partner applying external pressure to the uterine fundus. Internal – 100%. Author External aortic compression and bimanual compression are used only in cases of torrential the placenta has been delivered, massage the uterus with a cupped hand or midwife. Bimanual compression technique. Uterine massage every 5–10 mins is recommended to In responding to early signs of postpartum hemorrhage the first step is to undertake a proper assessment of the woman and take Bimanual Compression. Insert one . Internal aortic. INTRODUCTION: Bimanual uterine compression may provide a reasonable to the uterine fundus using 2 hands and the other providing internal pressure 27 Jun 2018 Sterile technique is used. If the uterus remains atonic, commence bimanual massage. A hand is placed on the fundus, and the second hand isAs the uterus returns to its nonpregnant size, its muscles contract strongly, which can cause pain. Fundal massage can be performed with one hand over the pubic bone, firmly massaging the uterine fundus (the top of the uterus), or with the addition of one hand in the vagina compressing the two uterine arteries. 21 Sep 2012 Bimanual uterine compression is an intervention performed by a skilled birth attendant, where one hand is placed in the vagina and pushed against the body of the uterus, while the other hand compresses the uterine fundus above through the abdominal wall.