Fundal massage, also called uterine massage, is a technique used to reduce bleeding and cramping of the uterus after childbirth or after an abortion. As the uterus returns to its nonpregnant size, its muscles contract strongly, which can cause pain.
How long should you massage uterus after birth?
It is thought that light abdominal massage may continue to be beneficial for up to 2 or 3 weeks after birth, until lochia is clear. But proceed with caution: Uterine massage can be harmful if too much pressure is applied.
Why do we assess fundus postpartum?
After birth, the uterus gradually shrinks and descends into its prepregnancy position in the pelvis; termed involution. Palpation of the uterine fundus postpartum helps to determine uterine size, degree of firmness, and rate of descent, which is measured in fingerbreadths above or below the umbilicus.
How long can you feel fundus after birth?
The fundus continues to descend into the pelvis at the rate of approximately one centimeter (finger-breadth) per day and should be nonpalpable by two weeks postpartum. Afterpains, or intermittent uterine contractions, are a normal occurrence during the postpartum period.
Should you massage a firm fundus?
Routine use of fundal massage can prevent postpartum or post-abortion hemorrhage and can reduce pain; it may also reduce the need for uterotonics, medications that cause the uterus to contract. It is used to treat uterine atony, a condition where the uterus lacks muscle tone and is soft to the touch instead of firm.
Why do doctors push on your stomach after birth?
“They’ll massage your uterus to help it contract down,” Bohn says. “And your nurse will press on your belly and massage it every 15 minutes for the first two hours after delivery. This can be very painful, especially if you didn’t have an epidural.”
Can I lay on my stomach after birth?
“It can certainly feel good to lie on your stomach after birth. Doing that during pregnancy isn’t possible,” she says.
What should I not do after giving birth?
Avoid stairs and lifting until your doctor says these activities are OK. Don’t take a bath or go swimming until the doctor says it’s OK. Don’t drive until your doctor says it’s OK. Also wait until you can make sudden movements and wear a safety belt properly without discomfort.
How do you check postpartum fundus?
The uterus should feel firm and should feel about the size of a grapefruit for the first few days. The fundus (top portion of the uterus) should be felt at the level of your belly button or lower. You can attempt to feel your fundus by gently pressing on your abdomen. The uterus shrinks at about the rate of one cm.
How often do you assess fundus postpartum?
Every 5 to 15 minutes, you monitor her blood pressure and pulse, evaluate her fundus, and check for bleeding.
What to do if the fundus is boggy?
Do not apply excessive pressure on the fundus of the uterus as this may increase the risk of inversion. Note that massaging a hard, contracted uterus can actually impede detachment of the placenta and increase bleeding. With a boggy uterus, continue to massage and administer uterotonics to increase uterine contraction.