In the instance of a bleeding pregnant woman, what immediate procedure should be prioritized?

In cases of bleeding in a pregnant woman, particularly if there is a chance of significant hemorrhage or complications such as placental abruption or placenta previa, immediate interventions are crucial. Fundal massage is an important procedure that helps stimulate uterine contraction, which can reduce or control bleeding. This technique is particularly relevant in cases where the uterus is atonic (not contracting effectively) after delivery, but it may also be relevant in the management of certain emergency situations related to bleeding during pregnancy.

While monitoring vital signs, establishing IV access, and administering oxygen are certainly important steps in the overall management of a pregnant patient experiencing bleeding, they are typically considered supportive measures rather than immediate intervention focused directly on controlling the source of bleeding. Proper uterine tone can be essential in managing and preventing further blood loss, making fundal massage a priority in many situations involving bleeding just before or during labor. By ensuring effective uterine contractions, this procedure plays a critical role in stabilizing the patient and managing potential complications.