2015 Trumbull Memorial Hospital Demo

Fundal / Uterus Massage

Fundal / Uterus Massage

Steps

Performed? Yes No

1. Ensure Clinical Indications:  Excessive vaginal bleeding following delivery (>500mL)  Mother is unable to breastfeed, or bleeding continues despite breastfeeding  Mother displays signs and symptoms consistent with hypovolemia

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2. Explain the procedure to the patient.

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3. Place one hand over the proximal end of the symphysis pubis and apply pressure.

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4. Locate the fundus with the other hand and “knead” it with firm pressure.

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5. Monitor for changes in hemodynamic status.

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6. Continue with hemorrhage control protocol.

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132

EMR

EMT

AEMT

Paramedic

Extended