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    III - Rationale: Postpartum Hemorrhage

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    Angelina Nicole G. Tungol
    Uterine fundus massage is a technique used after labor to help the uterus shrink and expel blood clots. It involves vigorously rubbing the mother's fundus, or top of the uterus, to encourage uterine contractions that push out blood and prevent postpartum hemorrhaging. Nurses perform fundus massage by washing hands, explaining the procedure to the patient, locating the fundus, and gently massaging it in circular motions until it feels firm, doing so as often as every 10 minutes. The goal is to help the uterus harden and contract down to its normal size and position after delivery.

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    III - Rationale: Postpartum Hemorrhage

    Uploaded by

    Angelina Nicole G. Tungol
    8 views2 pages
    Uterine fundus massage is a technique used after labor to help the uterus shrink and expel blood clots. It involves vigorously rubbing the mother's fundus, or top of the uterus, to encourage uterine contractions that push out blood and prevent postpartum hemorrhaging. Nurses perform fundus massage by washing hands, explaining the procedure to the patient, locating the fundus, and gently massaging it in circular motions until it feels firm, doing so as often as every 10 minutes. The goal is to help the uterus harden and contract down to its normal size and position after delivery.

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    Uterine fundus massage is a technique used after labor to help the uterus shrink and expel blood clots. It involves vigorously rubbing the mother's fundus, or top of the uterus, to encourage uterine contractions that push out blood and prevent postpartum hemorrhaging. Nurses perform fundus massage by washing hands, explaining the procedure to the patient, locating the fundus, and gently massaging it in circular motions until it feels firm, doing so as often as every 10 minutes. The goal is to help the uterus harden and contract down to its normal size and position after delivery.

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    8 views2 pages

    III - Rationale: Postpartum Hemorrhage

    Uploaded by

    Angelina Nicole G. Tungol
    Uterine fundus massage is a technique used after labor to help the uterus shrink and expel blood clots. It involves vigorously rubbing the mother's fundus, or top of the uterus, to encourage uterine contractions that push out blood and prevent postpartum hemorrhaging. Nurses perform fundus massage by washing hands, explaining the procedure to the patient, locating the fundus, and gently massaging it in circular motions until it feels firm, doing so as often as every 10 minutes. The goal is to help the uterus harden and contract down to its normal size and position after delivery.

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    FUNDUS MASSAGE SBPANGILINAN

    2023 ward UTERINE FUNDUS MASSAGE

    I. Definition
    - a technique used to help the uterus shrink and expel blood clots after labor; it
    involves rubbing the mother's fundus (the top of the uterus) vigorously. 
    II. Goal
    - to help expel blood clots and prevent postpartum hemorrhaging.
    III.Rationale
    - to help encourage the uterus continue to contract and prevent postpartum
    hemorrhage.
     After the placenta detaches and is delivered, the area where it was
    attached to the uterine wall bleeds.
     Uterine contractions naturally help to push out this blood and put
    pressure on the blood vessels in the uterus in order to stop the
    bleeding.
     For this reason, fundal massages are performed whether a vaginal
    or C-section delivery.

    IV. Nursing management


     Wash hands, wear gloves
     Identify the patient
     Greet by name, check the wrist band (name, date of birth)
     Provide privacy – close the curtains/ or cover the abdomen with blanket
     Explain the procedure
     Assess: abdominal cramping
     Check the uterine fundus
     find the fundus located right around, or right below the umbilicus post-partum. 
     Hand position: above the symphysis pubis (capped)& at the umbilicus

     Note: encourage patient to void before palpation of the uterine fundus because a
    full bladder displaces the uterus and can lead to excessive bleeding.

     Re-measure the fundal level (using finger- breath)


     Boggy (soft) – check for hemorrhage (inspect perineal pads for flow - amount,
    color, odor; episiotomy)
     Firm – active uterine contraction
     “massage” the uterus gently in circular motion
     *Uterine muscle contracts to its firmness
     continue massaging the uterus with one hand, support the bottom of the uterus
    near the pubic bone with the other hand.
     In some cases, perform a fundal massage with a hand in the vagina in order to compress
    the uterine arteries (bimanual compression”)

     given until the uterus feels firm; the amount of time varies, but they can be given
    as often as every 10mins
     feel the stomach and uterus routinely.

     Note: After delivery the uterus should feel hard like a softball, and be at or just below the
    umbilicus
     If the uterus isn’t firm, it typically hardens up after fundal massage once blood or clots
    are expelled.

    1
    FUNDUS MASSAGE SBPANGILINAN

    how does fundal massage feel 


     definitely isn’t relaxing; varies in intensity for everyone
     particularly due to the amount of pressure needed to impact the
    uterus.
     The resulting uterine contractions, often known as after pains, can also be a bit
    uncomfortable…though after labor, they just may feel like a walk in the park!

    bi-manual compression

    Trivia:
      BUBBLE-LE (stands for Breasts, Uterus, Bladder, Bowels, Episiotomy, Lower
    extremities, and Emotions)

    https://www.lancastergeneralhealth.org/health-hub-home/motherhood/your-
    pregnancy/childbirth-diaries-fundal-massage
     https://www.brilliantbirths.com/blog/what-is-fundal-massage
     

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