I haven't researched what actions you can take in pregnancy that
could reduce bleeding at the birth, but I can tell you what labor
management practices increase postpartum bleeding. At the top of
the list is oxytocin (Pitocin or "Pit") to induce or augment
labor. The higher the dose rate and the longer the time you
are receiving oxytocin, the greater the likelihood of
excessive postpartum bleeding. Epidurals are associated with excess
postpartum bleeding probably because they increase use of oxytocin
and because they increase likelihood of instrumental vaginal
delivery, another factor associated with excessive bleeding.
Episiotomy is as well.
After the birth, delaying cord clamping is good for you as well
as your baby because as the baby recovers the blood circulating
through the placenta, the drainage helps the placenta to peel
quickly, easily and completely off the uterine wall. It helps as
well to have your baby skin-to-skin on your chest because even
nuzzling your breast stimulates you to produce your own oxytocin.
Finally, as you experienced at your previous birth, if
necessary, a shot of oxytocin helps the uterus clamp down and shut