It's a suction device. It's actually pretty straight forward. You insert one end of the device and squeeze the bulb to literally suck the contents out of the uterus. It's safe when performed by a professional, but not when done by a 50's housewife to herself. Hard to say what exactly caused the bleeding, but she obviously did something wrong. Leo's character mentioned something about the placenta still being present and that's connected to the mom's blood supply, so if she ripped the fetus out, I can imagine that would cause substantial hemorrhaging. She wasn't in labor so everything was still attached on the inside, if that makes sense.
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