What is the first step in BLS management of postpartum hemorrhage?

The first step in the Basic Life Support (BLS) management of postpartum hemorrhage is fundal massage and applying pressure. This technique involves exerting pressure on the uterus to help promote contraction and reduce bleeding. At this critical time, it is essential to stimulate the uterus to contract effectively, as it can prevent further blood loss and help achieve hemostasis.

The rationale behind this approach is that the most common cause of postpartum hemorrhage is uterine atony, where the uterus fails to contract properly after delivery. By performing fundal massage, healthcare providers can stimulate the muscle fibers in the uterus to contract and reduce the volume of blood loss. This immediate intervention is crucial in stabilizing the patient's condition while preparing for potential further treatment or advanced medical assistance.

Other options may involve important steps in the overall management of postpartum hemorrhage, such as positioning the patient or administering IV fluids, but the priority is to address the immediate cause of the hemorrhage through physical stimulation of the uterus. Calling for advanced help is also necessary but comes after initiating the fundamental actions to manage the bleeding effectively.