Postpartum Haemorrhage: the Sequence That Saves

In haemorrhage the sequence is the intervention. The first nursing action is to massage the fundus — it is fastest, needs no order, no equipment and no drug, and it corrects the cause in three-quarters of cases while you are calling for help. Build the nine-step response in order and find out what each wrong first move costs. Then separate the four Ts by the bedside clue, check a uterotonic against the patient in front of you, and assemble the SBAR you would actually say out loud.

Run the haemorrhage

Bed 4 · two hours after a spontaneous vaginal birth

Gravida 4, oxytocin-augmented labour, 4.1 kg infant

The pad is saturated and there is blood in the fold of her buttocks. The fundus is boggy, two fingerbreadths above the umbilicus and deviated to the right. Heart rate 122, blood pressure 96/54. She has not voided since the birth.

Click the actions in the order you would do them. Several later steps happen simultaneously once help arrives — but the first three have an order that matters.

Steps placed correctly first time0 / 9

The sequenceWhat do you do first?

Waiting

Choose a mode on the left.