What is the only option if there is torrential bleeding in the third stage of labor?

In the context of torrential bleeding during the third stage of labor, the most immediate and effective course of action is manual removal of the placenta. This situation indicates a potential complication, either due to retained placenta or factors causing the uterus to be unable to contract adequately, leading to significant blood loss.

When the placenta does not detach properly, it can result in hemorrhaging, which poses risks to both the birthing person and the baby. Manual removal of the placenta allows for the immediate resolution of this issue, aiding in quicker hemostasis and reducing the risk of severe maternal complications.

Other methods, such as administering more fluids or waiting for natural expulsion, may not address the source of the bleeding effectively. While consulting a physician for medication could be applicable in certain scenarios, it may not provide the necessary immediate intervention required in cases of torrential bleeding where rapid action is essential for the safety of the patient. Thus, manual removal is the most direct and urgent response to control the situation and ensure maternal safety.