Hamilton handle

The Hamilton-handle , even punching bag handle ( . English Hamilton's maneuver ) - named after Alexander Hamilton (* 1739 , † 1802 ), Scottish professor of obstetrics at the University of Edinburgh - is used in obstetrics to an atonic hemorrhage to breastfeed . One hand is in the vagina, the other on the patient's lower abdomen. The inner hand in the vagina is clenched into a fist and the knuckles are pressed against the uterus. The outer hand presses the uterus against the inner hand. The front and back walls of the uterus are pressed tightly together. If this handle is carried out long enough, hemostasis can practically always be achieved. As soon as regular after-pains are felt, this manual compression can be stopped. In severe cases, however, this can take one to two hours.

literature

• Manfred Stauber, Thomas Weyerstahl: Gynecology and Obstetrics . 3rd updated edition. Thieme Georg Verlag, Stuttgart 2007, ISBN 978-3-13-125343-9 , p. 745.

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