• Prepare for birth of placenta

Natural stimulation

• Breast feeding promotes the natural release of oxytocin and stimulates uterine contraction.

Fundal Massage

• Place one hand above and one below the fundus in a cup formation^[1]
• Rub fundus till its tone is restored.
• Repeat as required ensuring uterine contraction is ongoing.

Aortic Compression (life-threatening uncontrolled bleeding^[2])

• Explain the procedure to mother: Manually diminishing the flow of blood to the arteries (5) supplying the uterus (2).
• Place yourself on the left side of the patient.
• Place your fist just above the umbilicus and slightly to the left (3).
• Lean over the woman, so that your weight increases the pressure on the aorta (3), against the vertebral column (4).
• Before exerting aortic compression, feel the femoral artery (6) for a pulse using the index and third fingers of your left hand.
• Identify the femoral pulse and lean forward and apply pressure to the aorta. To confirm placement, palpate femoral pulse.
• Increase pressure if required, no Femoral pulse should be palpable. Should the pulse become palpable, adjust the right fist and the pressure until the pulse is not palpable.