What is the best response to a mother experiencing moderate vaginal bleeding after delivering her baby?

In the context of a mother experiencing moderate vaginal bleeding after delivery, firmly massaging the uterine fundus with a circular motion is the most effective response. This technique helps stimulate uterine contractions, which are crucial for controlling bleeding. After childbirth, the uterus should contract to close the blood vessels that were attached to the placenta. If the uterus remains atonic (not contracting adequately), it can lead to excessive postpartum hemorrhage.

By massaging the fundus, you encourage the muscle fibers of the uterus to tighten, thereby reducing blood loss and promoting a return to normal uterine size. This method is a standard practice in obstetric care for addressing uterine atony and is essential in managing potential complications following delivery.

Other options, while they may signify an attempt to manage the situation, do not directly address the cause of the bleeding in the same effective manner. Elevating the legs can sometimes be helpful for shock but does not promote uterine contraction. Inserting a sterile trauma dressing into the vagina may introduce risk for infection and does not address the underlying issue of uterine atony. Positioning the mother on her left side and placing her legs together may help improve blood flow to the uterus, but again, this does not directly promote uterine contraction