MISAMIS UNIVERSITY

Ozamiz City 7200, Philippines

Tel No. +63 88 521-0367 / Telefax No. +63 88 521-2917
E-mail Address: mu@mu.edu.ph
CERTIFIED: ISO 9001:2015 Risk Management System– DNVGL, Australia Pty Ltd.
ACCREDITED: Philippine Association of Colleges and Universities Commission on Accreditation (PACUCOA)

Procedure on Fundal Massage

FUNDAL MASSAGE

PURPOSE: To stimulate uterine contraction, promote uterine tone and

consistency and minimize the risk of hemorrhage.

Materials: Clean Gloves

Ste Principle
ps
1. Perform handwashing. Explanations help to decrease
Identify the patient. Introduce anxiety, and providing privacy
self. Explain the necessity for the enhances self-esteem.
procedure and provide privacy.
2. Ask patient to void (unless An empty bladder prevents
bleeding is extensive and more displacement of the uterus and
rapid action seems necessary). ensures accurate assessment of
Ask her to lie supine with knees uterine tone. Proper positioning
flexed. enhances visualization and
effectiveness of procedure.
3. Put on gloves. Place one hand on This anchors the lower uterine
the abdomen just above the segment and allows you to locate and
symphysis pubis. Place the other assess the fundus.
hand around the top of the
fundus.
4. Rotate the upper hand to Massage should be done only when
massage the uterus until it is firm, the uterus is not firm, and aggressive
being careful not to over massage. massage may lead to a partial or
complete uterine prolapse.
5. When the uterus is firm, press Gently squeezing with downward
the fundus between the hands pressure helps to expel blood or clots
using slight downward pressure collected in the uterine cavity.
against the lower hand.
6. Remove and observe the This helps to assess the degree of
 MISAMIS UNIVERSITY
Ozamiz City 7200, Philippines
Tel No. +63 88 521-0367 / Telefax No. +63 88 521-2917
E-mail Address: mu@mu.edu.ph
CERTIFIED: ISO 9001:2015 Risk Management System– DNVGL, Australia Pty Ltd.
ACCREDITED: Philippine Association of Colleges and Universities Commission on Accreditation (PACUCOA)

woman’s perineum for the bleeding.

passage of clots and the amount of
bleeding.
7. Massage the uterus one more This helps to promote comfort and
time to be certain it remains firm, hygiene while reducing the risk for
cleanse the perineum, and apply a infection.
clean perineal pad. Discard gloves
and soiled pads according to
agency policy and perform hand
hygiene.
8. Document the results of the Documentation provides a means for
procedure. Continue to assess the evaluation. Continued assessment
fundus and lochia according to allows for early identification and
agency policy. Notify the primary prompt intervention with additional
care provider if the fundus does measures, such as oxytocin, to
not remain firm or if bleeding prevent hemorrhage.
continues.
 MISAMIS UNIVERSITY
Ozamiz City 7200, Philippines
Tel No. +63 88 521-0367 / Telefax No. +63 88 521-2917
E-mail Address: mu@mu.edu.ph
CERTIFIED: ISO 9001:2015 Risk Management System– DNVGL, Australia Pty Ltd.
ACCREDITED: Philippine Association of Colleges and Universities Commission on Accreditation (PACUCOA)

Performance Checklist on Fundal Massage

Name of Student: Date:

FUNDAL MASSAGE PROCEDURE

Able to Able to Unable to
Perform Perform with Perform
Procedure Competently Supervision
(2 Points) (1 Point) (0 Point)
1. Perform handwashing. Identify patient and introduce self.
Explain the necessity for the procedure.
2. Provide privacy and ask patient to void and position her in
supine with knees flexed.
3. Put on gloves then place one hand on the abdomen just
above the symphysis pubis and the other hand around the
top of the fundus.
4. Rotate the upper hand to massage the uterus until it is firm,
being careful not to over massage.
5. When the uterus is firm, press the fundus between the
hands using slight downward pressure against the lower
hand.
6. Remove perenial pad and assess woman’s perineum for
the passage of clots and the amount of bleeding.
7. Massage the uterus one more time to be certain it remains
firm.
8. Cleanse the perineum and apply a clean perineal pad
9. Discard gloves and soiled pads according to agency policy and
perform hand hygiene.
10. Document the results of the procedure.

Highest Possible Score: 20 Total Score

Remarks:

Signature of Student Name & Signature of Clinical Instructor

References:

Berman, A., Snyder, S., & Frandsen, G. (2016). Communicating. In A. Berman, S. Snyder, & G. Frandsen (Eds.), Kozier and Erb’s
fundamentals of nursing: Concepts, process, & practice (pp. 437-464) (10th ed.). New York, NY: Pearson