Emergency childbirth rupture. Bleeding after delivery (postpartum hemorrhage) After delivery of the baby, a uterus that is not contracting (atonic uterus), ruptured uterus, remaining parts of placenta or baby or infected remaining parts of placenta or baby can cause severe bleeding. Postpartum bleeding is usually managed preventatively by massaging the lower abdomen (fundal massage), which increases contraction of the uterus and stops bleeding. Additionally, steady traction is applied to the cord to prevent trauma, cord avulsion (tearing of the umbilical cord), uterine inversion, and retained placental products, all of which can increase blood loss and/or the risk of infection. Postpartum hemorrhage is
Use of restraints on pregnant women should be writing these policies, the unique healthcare needs and circumstance of pregnant women and girls, the related health risks posed by restraints, and the limitation on the use of restraints to "absolute necessity". The 11 recommendations outline specific cases in which the use of restraints should be prohibited, avoided and/or limited, as well as what facility standard operating procedures should include regarding the use of restraints on pregnant women. ACOG standards specifically state that the use of restraints on pregnant incarcerated women and adolescents compromises health care and is inhumane. Georgia, South Carolina, Kentucky, Mississippi, Missouri, Nebraska, North Dakota,