What is the initial response to significant bleeding during the third stage of labor?

During the third stage of labor, which involves the delivery of the placenta, significant bleeding can occur due to the uterus failing to contract effectively and expel the placenta. The initial response to this situation is critical in managing potential complications, such as postpartum hemorrhage.

Evaluating the need for Pitocin, a medication used to promote uterine contractions, is essential because it can help the uterus contract and reduce bleeding. Administering Pitocin can effectively manage the situation by promoting uterine tone, thus helping to control and prevent further bleeding. This approach addresses the underlying cause of bleeding rather than dealing with the symptoms.

In contrast, monitoring for signs of infection is not an immediate concern during the third stage of labor; rather, it is a longer-term consideration. Administering anti-inflammatory medication does not directly address the uterine contractions essential for controlling hemorrhage. Performing manual removal of the placenta is typically a later intervention when conservative measures, such as the administration of Pitocin, are ineffective in managing the bleeding.