GynaePulse
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Bimanual compression & aortic compression

Buy time in atonic PPH.

Source: GLOWM · WHO

Bimanual compression

  1. Fist in anterior vaginal fornix pressing on lower uterus.
  2. Abdominal hand pushes fundus down toward the symphysis.
  3. Compress ≥5 min; release slowly.

External aortic compression

  1. Stand on her right; left fist just above umbilicus, slightly left.
  2. Press down onto the aorta with body weight.
  3. Right hand checks femoral pulse — absent = effective.
Temporising only — continue drugs and move to theatre. Not if uterus is inverted.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.