FUNDAL MASSAGE Return Demonstration | Danielle Villaseñor

Introduction

This tutorial provides a step-by-step guide on performing a fundal massage, as demonstrated by Danielle Villaseñor. Fundal massage is an important technique used in postpartum care to help the uterus contract and prevent complications. This guide will walk you through the process, ensuring you understand each step for effective execution.

Step 1: Prepare the Environment

Before starting the fundal massage, ensure you have a calm and clean environment.

• Gather Supplies:

  • Clean linens
  • Gloves (if necessary)
  • A comfortable surface for the patient

• Position the Patient:

  • Have the patient lie flat on her back with her knees slightly bent. This position helps relax the abdominal muscles.

Step 2: Assess the Uterus

Begin by assessing the uterus's firmness and position.

• Locate the Fundus:

  • Gently palpate the abdomen to find the top of the uterus (the fundus), which is typically located just above the pubic bone post-delivery.

• Check Firmness:

  • Use your fingertips to determine whether the fundus is firm (normal) or boggy (soft), indicating potential complications.

Step 3: Perform the Fundal Massage

Once the uterus is located and assessed, you can begin the massage.

• Technique:

  • Use the palm of one hand to apply pressure gently on the fundus while the other hand supports the lower abdomen.
  • Using a rhythmic motion, apply downward pressure and then release.
  • Repeat this motion for about 3-5 minutes.

• Monitor the Patient:

  • Observe the patient’s comfort level and watch for any signs of discomfort or adverse reactions.

Step 4: Document the Procedure

After completing the fundal massage, it’s essential to document the process.

• Record Findings:

  • Note the firmness of the fundus (firm or boggy) and any changes observed during the massage.
  • Document the patient’s vital signs and overall response to the procedure.

• Follow Up:

  • Schedule any necessary follow-up assessments based on your findings.

Conclusion

Mastering fundal massage is crucial for promoting uterine health in postpartum patients. Remember to prepare the environment, assess the uterus, perform the massage correctly, and document your findings. By following these steps, you can help ensure the well-being of new mothers during their recovery. For further practice, consider observing more demonstrations or seeking guidance from experienced practitioners.