Uterine Compression

Uterine compression is a technique of squeezing the uterus between your hands. It’s a lifesaving practice that can stop post-partum hemorrhage due to a relaxed uterus. This video will show how to perform uterine compression.

This woman is bleeding heavily. Her uterus is not contracting even though you have massaged it, her bladder is empty, and you’ve given her medicine to contract her uterus. Your next step is compressing her uterus. Put on a long sterile glove that reaches to your elbow. Tell the woman what you need to do and why. Ask for her consent.

Flatten your hand by putting your thumb in your palm and your fingers together. Carefully insert it into the vagina. Let your movements be gentle but firm because this is painful for the woman. Move your hand into the vagina but not inside the uterus. Place your other hand on the woman’s belly. Make a fist with your inside hand. Fold the uterus forward and squeeze it between your hand and fist for at least 5 minutes. This puts pressure on the blood vessels and can help the uterus contract and stop bleeding. When the uterus starts to contract and the bleeding stops, release your fist. Slowly remove your hand from the vagina, bringing out any clots. Massage the uterus until you’re sure it’s well contracted.

A woman who needs uterine compression has lost a lot of blood and may bleed again. Monitor her pulse and blood pressure, uterine tone and bleeding every 15 minutes for 2 hours. Transport her for advanced care if your facility cannot supply blood transfusion.

Remember, uterine compression stops bleeding by compressing the uterus between the hands. Flatten your hand to insert it inside the vagina. Make a fist and fold the uterus forward; squeezing it between your hand and fist for at least 5 minutes.