Why do you massage the fundus after birth?

There are multiple reasons why it's important to massage the fundus after birth:

1. Control Bleeding: One of the primary reasons for massaging the fundus after birth is to control bleeding. The uterus contracts and relaxes after delivery, and massage helps to stimulate these contractions. This helps to seal off the blood vessels at the placental site, reducing the risk of postpartum hemorrhage (excessive bleeding after childbirth).

2. Help Expel Blood Clots: Massaging the fundus also aids in the expulsion of blood clots and debris from the uterus. These clots can prevent the uterus from contracting effectively and increase the risk of bleeding and infection. By gently massaging the uterus, these clots are dislodged and can be expelled.

3. Prevent Uterine Atony: Uterine atony is a condition where the uterus fails to contract firmly after birth, which can lead to prolonged bleeding. Massaging the fundus helps to stimulate the muscles of the uterus and encourages them to contract, reducing the risk of uterine atony.

4. Promote Uterine Involution: After birth, the uterus undergoes a natural process of involution, where it gradually returns to its pre-pregnancy size. Massaging the fundus helps to facilitate this process by promoting blood circulation and stimulating the uterine muscles. It assists the uterus in shrinking and returning to its original position in the pelvis.

5. Aid in Pain Relief: Some women experience afterbirth pains, which are discomfort or cramps caused by uterine contractions. Massaging the fundus can help alleviate this discomfort by promoting relaxation and reducing muscle spasms.

It's essential to note that massaging the fundus should be performed by a healthcare provider or someone trained in this technique. Proper technique, appropriate pressure, and hygiene practices are crucial to prevent any complications or discomfort.