NREMT Paramedic Practice

Which of the following is a management technique for uterine atony?

1. Encouraging vaginal delivery

2. Performing a C-section

3. Massage of the uterus

4. Use of antibiotics

The correct answer is: Massage of the uterus

Massage of the uterus is a well-established management technique for uterine atony, which is a condition characterized by the failure of the uterus to contract effectively after childbirth, leading to postpartum hemorrhage. The primary goal of uterine massage is to stimulate the uterus to contract and reduce the risk of excessive bleeding. This technique involves applying firm, yet gentle pressure to the uterus through the abdominal wall, helping to encourage muscle tone and promote normal uterine retraction. In contrast, while vaginal delivery and C-sections are methods of delivery, they do not directly address uterine atony once the delivery has occurred. Antibiotics, while important for preventing or treating infections, do not have a direct role in managing uterine atony itself. This is why massage of the uterus stands out as the appropriate response to this condition, enabling immediate action to control bleeding and support the woman's recovery post-delivery.