Fundal Massage - Return Demonstration

Introduction

This tutorial provides a step-by-step guide to performing a fundal massage, a technique often used in postpartum care to help the uterus contract and reduce bleeding. Understanding this practice is essential for healthcare providers and caregivers to promote recovery and well-being for new mothers.

Step 1: Prepare the Environment

• Ensure the room is warm and comfortable to help the mother relax.
• Gather necessary supplies:
  • Clean towels
  • Gloves
  • A comfortable surface for the mother to lie down

Step 2: Explain the Procedure

• Communicate with the mother about what to expect during the massage.
• Reassure her that the procedure is normal and beneficial for her recovery.

Step 3: Position the Mother

• Have the mother lie down on her back with her knees slightly bent.
• Ensure she is comfortable and supported, using pillows if needed.

Step 4: Wash Hands and Wear Gloves

• Wash your hands thoroughly with soap and water.
• Put on gloves to maintain hygiene and prevent infection.

Step 5: Locate the Fundus

• Place your hands on the mother's abdomen, just above the pubic bone.
• Gently palpate to locate the fundus, which is the top of the uterus.

Step 6: Perform the Massage

• Use the following technique to massage the fundus:
  • Apply gentle, firm pressure with your fingertips.
  • Use a circular motion, moving from side to side.
  • Maintain consistent pressure to stimulate uterine contractions.
• Massage for about 1-2 minutes or until the fundus feels firm.

Step 7: Monitor the Response

• Observe the mother for any discomfort or pain during the massage.
• Check for changes in the firmness of the fundus:
  • If it becomes softer, continue massaging gently.
  • If the mother experiences significant pain, stop the massage and reassess.

Step 8: Provide Aftercare

• After the massage, help the mother reposition comfortably.
• Encourage her to rest and hydrate.
• Document the procedure and any observations in her medical record.

Conclusion

Fundal massage is a valuable technique in postpartum care that can aid in the recovery of new mothers. By following these steps, healthcare providers can effectively perform this procedure while ensuring the comfort and safety of their patients. Remember to communicate clearly throughout the process and monitor the mother's response for the best outcomes.