A fundal massage is a technique used after childbirth to help the uterus contract and return to its normal size. The uterus expands during pregnancy to accommodate the growing baby. After delivery, it needs to shrink back to its pre-pregnancy size. Fundal massage helps speed up this process by stimulating uterine contractions.
During a fundal massage, a healthcare provider places one hand on the lower abdomen where the uterus is located. They apply firm, gentle pressure and use a circular motion to massage the uterus. This pressure encourages the uterus to tighten and contract, which helps control bleeding.
After childbirth, some bleeding is normal as the body sheds the lining of the uterus. However, if the uterus does not contract properly, it can lead to heavy bleeding or postpartum hemorrhage (PPH). Fundal massage reduces the risk of this complication by promoting proper uterine contractions.
When is it Necessary?
Fundal massage is typically performed right after the baby and placenta are delivered. It helps prevent the uterus from becoming soft and relaxed, which could lead to excessive bleeding. In some cases, it may be done again if the uterus is not contracting well or if there is heavy postpartum bleeding.
The massage can feel uncomfortable or even painful for some women, especially immediately after birth. However, it is a quick and effective way to reduce the risk of PPH. Nurses or doctors may perform these massages regularly in the hours following delivery to ensure the uterus continues contracting.
In cases where the massage alone is not enough to control bleeding, doctors may use medications such as oxytocin (Pitocin) to help the uterus contract. Fundal massage, along with these treatments, plays an important role in postpartum care.
In summary, fundal massage is a vital procedure after childbirth. It helps the uterus contract, reducing the risk of heavy bleeding or postpartum hemorrhage. While it may be uncomfortable, it helps ensure proper healing and recovery for new mothers. Proper care and monitoring during this time are essential for a healthy postpartum period.