Quote:
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Originally Posted by minkajane
I've never heard of fundal massage causing fragments of the placenta to remain. I've read a lot of hospital birth stories in which the nurses began fundal massage immediately to encourage separation.
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From Elizabeth Davis's
Heart & Hands:
Quote:
| Partial separation has several causes. One is incoordinate contracting, often caused by "fundus fiddling" attendants. Left to itself, the uterus will clamp down uniformly and will shear off the placenta in one smooth sweep. But if poked and prodded it may only release certain sections. |
Also from obstetric guidelines (credit to Pamamidwife
):
http://www.obgyn.uic.edu/scripts/obg...2004review.pdf
"Avoid interference, i.e.,
do not pull on the cord or massage the uterus. [...] After placental delivery check fundus for contractions to decrease bleeding, give uterine massage as needed."
(scroll down to "Third Stage Management")
