Late postpartum hemorrhage (Cesarean section) has been admitted for the second time, seeking safety.

Patient's question:

Symptoms: Persistent postpartum vaginal bleeding and shock in the late stage
Patient: 135 pounds (61 kg) pre-pregnancy, obese, with type 2 diabetes for 2 years, controlling it well with insulin, allergic to penicillin.

Doctor's answer:

The most effective method to stimulate and enhance uterine contractions to achieve rapid hemostasis. Generally, the hands are placed on the fundus of the uterus in the abdomen of the mother, with the thumb on the anterior wall of the fundus and the other four fingers on the posterior wall, massaging the fundus evenly and rhythmically to stimulate uterine contractions.