Rubbing or massaging the uterus, typically done on the lower abdomen, stimulates uterine contractions. This process, known as uterine massage, is often used to reduce postpartum hemorrhage.
Understanding Uterine Massage
Uterine massage involves applying manual pressure to the uterus through the lower abdomen. The goal is to encourage the uterus to contract and reduce bleeding. Here's a breakdown:
- Technique: A hand is placed on the lower abdomen, and the uterus is stimulated using repetitive massaging or squeezing motions.
- Purpose: The primary goal is to make the uterus contract. This helps to clamp down on the blood vessels that were supplying the placenta, thus minimizing bleeding.
- Mechanism: The massaging action is thought to trigger the release of local prostaglandins. These hormones stimulate uterine muscle contraction.
- Why It's Important: After childbirth, the uterus can sometimes be slow to contract on its own. This can lead to excessive bleeding (postpartum hemorrhage). Uterine massage is often a first-line measure to address this issue.
Practical Applications of Uterine Massage
Uterine massage is used in the following situations:
- Immediately after childbirth: To help the uterus contract and prevent excessive postpartum bleeding.
- During postpartum checks: To assess the tone of the uterus and address any uterine relaxation early.
- When experiencing uterine atony: If the uterus does not contract properly, massage is used alongside other interventions.
Key Effects of Uterine Massage
| Effect | Description |
|---|---|
| Uterine Contractions | The primary result of massage. The uterus muscle fibers contract. |
| Reduced Hemorrhage | The contractions help to clamp down on bleeding blood vessels, reducing blood loss. |
| Prostaglandin Release | Stimulation releases local prostaglandins, further promoting contractions. |
Uterine massage is a critical intervention in the management of postpartum care, and is performed by health professionals to help reduce haemorrhage by stimulating uterine contraction.
