6. o 266 5. 1. Make her lie down \\ith the head lower than the body. 5. 2. Cover the patient lightly. \-voile patient is in transit or waiting for the services of the higher level fac T where patient is being referred to and there is massive bleeding after the thlity stage of lr1bor. uo th!' folio,,; ng: rd 6. 1. Apply cold compress or ice car below the patient's umbilicus. 6. 2. lft J,e bleeding docsn·t slop. press the above menlioned area. 6. 3. If there is still some bleeding, grasp the womb in both hands and slo 1. wy press,t. Endorse the patient at the referred le,·e L See Figure 3. 2 for a sample refi form. erral 7. 1, Gi,·e the brief history including the obstetrical history if possible. 7. 2. Gi"e the physical e. xamination findings as well as the management st at the referring level. arted --....:;,-1 Sc..:~rn tic J wiln C1m1Soam1t:i I I I I 