What is the first line of treatment for obstetric hemorrhage?

The first line of treatment for obstetric hemorrhage is typically uterine massage. This intervention focuses on the immediate physical management of uterine atony, which is a common cause of postpartum hemorrhage. Uterine massage stimulates uterine contractions, helping the uterus to contract and reduce bleeding.

Assessing the underlying cause of the hemorrhage is critical, and uterine massage is often employed as an initial step while further evaluations and management are conducted. If the uterus is not firm and contracted, this massage can be a simple yet effective way to promote tonicity and control excess bleeding.

Other treatments, like administering blood products or medications, may be necessary depending on the severity and cause of the hemorrhage but are not the first action taken. Surgical intervention is typically reserved for severe cases or when conservative measures fail. Managing blood pressure is also important but does not directly address the cause of obstetric hemorrhage. Thus, uterine massage is crucial in the early management strategy in these situations.