Uterine massage involves manually stimulating the uterus, typically after childbirth, to encourage contraction and reduce postpartum bleeding.
Understanding Uterine Massage
Uterine massage is a technique performed by placing a hand on the lower abdomen and using repetitive massaging or squeezing movements to stimulate the uterus. The primary goal is to help the uterus contract firmly, which in turn helps to control bleeding after childbirth. This is particularly important in the immediate postpartum period to prevent postpartum hemorrhage.
How to Perform Uterine Massage
While this is often performed by medical professionals, understanding the technique is useful for patients. Always consult with your healthcare provider for proper instruction and guidance.
- Preparation:
- Ensure the woman is lying on her back.
- Explain the procedure to the woman and obtain consent.
- The bladder should be empty to allow for effective massage. Encourage urination if needed.
- Locating the Uterus:
- Place one hand just above the pubic bone on the lower abdomen.
- With the other hand, palpate (feel) the abdomen until you locate the top of the uterus (fundus). The uterus should feel like a firm, grapefruit-sized ball in the lower abdomen.
- Massage Technique:
- Using the hand on the abdomen, begin massaging the uterus using a circular motion.
- You can also gently squeeze the uterus between your two hands. The key is to encourage the uterus to contract and become firm.
- Continue massaging for several minutes, checking periodically to ensure the uterus remains firm.
- Monitoring:
- Regularly assess the firmness of the uterus. If it softens or feels boggy, continue massaging.
- Monitor the amount of vaginal bleeding. An increase in bleeding may indicate that the uterus is not contracting effectively. Alert a healthcare professional immediately if excessive bleeding occurs.
- When to Seek Help:
- If the uterus does not become firm with massage, or if bleeding continues to be heavy, immediately notify a healthcare professional.
- Massage should be performed regularly as instructed by your healthcare provider, usually every 15 minutes for the first hour after delivery, then less frequently as bleeding decreases and the uterus remains firm.
Why Uterine Massage Works
Massage stimulates uterine contraction, potentially through the release of local prostaglandins. These contractions help to compress the blood vessels at the site where the placenta detached, thereby reducing bleeding.
Important Considerations
- Uterine massage can be uncomfortable, especially immediately after childbirth. Encourage the woman to breathe deeply and relax as much as possible.
- Always consult with a healthcare professional for specific instructions and guidance on uterine massage. This information is for educational purposes only and does not substitute for professional medical advice.
- This should ideally be taught to the patient and their support person prior to delivery so they are comfortable and understand the process.
