Nurses pushing on stomach after birth - help. - Mothering Forums
Forum Jump: 
Reply
 
Thread Tools
#1 of 229 Old 02-19-2012, 12:01 PM - Thread Starter
 
Carrissa's Avatar
 
Join Date: Jul 2006
Location: Bainbridge Island, WA
Posts: 67
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I'm going to have my 4th baby in April (3rd VBAC). 5 years ago I had my 3rd girl which was an all natural hypnobabies birth at a hospital. After I had her, the nurse literally pushed over and over and over again on my stomach getting more blood to come out each time and citing that it was "necessary" to do so. I felt that she was using as much pressure as she could with both hands on my stomach pumping vigorously and more than a bit EVIL! My thought was that the blood would eventually come out on its own - wouldn't I be bleeding for weeks anyway? It hurt so badly and felt like torture to me. I literally wanted to jump out of the bed and smack her. I'm wondering if this practice is really necessary, why it's done as it wasn't done to such extremes with baby #2 which was also a VBAC and how to prevent it from happening in April. We are going with a midwife this time and a different more natural birth friendly hospital, but I want to be prepared in case it happens again. And again, this was the nurse that was doing it - not the OB. Thanks for any help!

Carrissa is offline  
#2 of 229 Old 02-19-2012, 12:45 PM
 
iowaorganic's Avatar
 
Join Date: May 2007
Location: Iowa
Posts: 3,292
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Yeah- they did that to me too each time in the hospital.  And now that I think of it- my hb midwife (baby #4) did NOT do this one bit!  I would ask your midwife why and if they do that where you will be delivering.  Could it be to get the placenta to detach quicker?  I don't know- I know that I had to deliver the placenta at the hospital right after the baby way born- and when I was at home the placenta didn't come for about 30 minutes or longer- which was awesome to have a nice break.  I don't know if that is the reason- just my guess.


Iowaorganic- mama to DD (1/5/06), DS1 (4/9/07), DS2 (1/22/09), DS3 (12/10/10), DD2 (7/6/12) and a new kid due in early 2014

iowaorganic is offline  
#3 of 229 Old 02-19-2012, 01:15 PM
 
Spring Lily's Avatar
 
Join Date: Sep 2006
Posts: 662
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I gave birth in the hospital and they did this a little after my vaginal birth, but after my c-section it was really bad. It had nothing to do with the placenta, this is in recovery, later. I was told that it had to do with checking on the blood clots, because if they are a certain size that would be a safety issue. I assume it was worse after the c/s because I'd just had a major surgery in that area!

I'd talk to your MW about it and call the charge nurse in your hospitals L&D dept. That's who would be able to explain the reasoning for that and discuss your choices with you. If it is about clots, perhaps there are other things they can do. I understand your fear, because it was pretty horrible my last time. For some reason it wasn't too big of a deal with my vaginal birth, but it was over really fast that time. Good luck in coming up with a plan you feel more comfortable with!
Spring Lily is offline  
#4 of 229 Old 02-19-2012, 01:24 PM
 
Alenushka's Avatar
 
Join Date: Jul 2002
Location: CA
Posts: 1,893
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Fundal checks and fundal massage.

 

http://community.babycenter.com/post/a4182425/why_do_they_massage_belly_after_birth

 

This is what &D nurse wrote above

 

"I'm a postpartum nurse and the one doing the fundal checks.  Labor and delivery nurses do fundal massage in the first hour or so after the birth to ensure that the uterus clamps down like it should to slow the bleeding.  This can be uncomfortable.  This helps to dispel clots and placental/amniotic fragments and such as well.  During this time, you may also receive pitocin through an IV, an injection in your leg, or a suppository if your bleeding is heavier than they would like.  We also do fundal massage if your bleeding is too heavy, if your uterus is lax, or if you pass large clots for the same reasons.  Once you are stable and there are so signs of heavy bleeding or clots, we generally only do fundal checks 2-3 times in 24 hours to catch potential bleeding complications before they start.  These fundal checks and massage are much easier than the alternatives if you are bleeding!  You could opt out, I suppose, but it would make it very difficult to do our jobs of making sure that you are safe, healthy, and able to care for yourself and your baby.  The uterus does shrink back on its own, but sometimes needs encouragement and that is what we are there for!! "

Alenushka is offline  
#5 of 229 Old 02-20-2012, 06:22 AM
 
mom2qts's Avatar
 
Join Date: Sep 2011
Posts: 21
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

As unpleasant as this is I was told by my midwife that this is something she does somewhat regularly to prevent excessive bleeding.  They aren't just pushing blood out they are helping the uterus clamp down after the fact to stop too heavy of bleeding.   I had it done after my first 3 pgs and hated it but never thought much more about it.  Then came number 4.  He was an unexpected UC delivery, he just came so fast no time for the midwife to arrive.  Before he was completley out I already knew something wasn't normal cause with each push lots of blood would come out.  Then once I delivered him I just kept bleeding very heavily.  We ended up calling the paramedics who were idiotically obsessed with the fact that the baby's cord hadn't been cut and acted like it was life and death if that that wasn't done immediatly.  So even though I mentioned the heavy bleeding they didn't pay much attention until we got into the ambulance where I started hemmoraging and thats the last thing I remember for some time.  Long story short after i retold the events to my miwife she had told me that if she had been there she would have "massaged" the uterus and it most likely would have stopped it from getting to full blown hemmorage.  I don't know your situation but maybe the nurse didn't like the amount of bleeding she was seeing and wanted to be proactive before things got out of control?  Just a thought.

mom2qts is offline  
#6 of 229 Old 02-20-2012, 10:43 AM
 
SilverMoon010's Avatar
 
Join Date: Jul 2009
Posts: 729
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I just gave birth (hospital) on 2/1 and I can feel your pain...literally! I don't remember them doing that with my first 4 years ago but they probably did.  It DOES feel like pure torture and I also wanted to smack the nurse.  If only pushing really hard once wasn't enough, she kept doing it over and over again to get all of the blood and urine out.  I never knew why she had to do that so thanks for asking this question! I am learning a lot as to why they need to do it. I just think using the term "massage" is a little misleading, howeverorngbiggrin.gif


Loving WAHM to my two little handsome DS's, '08 and '12, and loving wife to DH, '07love.gif

SilverMoon010 is offline  
#7 of 229 Old 02-21-2012, 05:15 PM
 
mom2qts's Avatar
 
Join Date: Sep 2011
Posts: 21
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I couldn't agree more!  I think I laughed out loud when my midwife said it.  You can call it anything you want but its still miserable!

mom2qts is offline  
#8 of 229 Old 02-21-2012, 05:31 PM
 
JPiper's Avatar
 
Join Date: Apr 2011
Location: Near Woods and Waters
Posts: 115
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I don't know what made me start reading this thread but ooch!  It brings back some squishy and unpleasant memories....  Good luck!

JPiper is offline  
#9 of 229 Old 02-23-2012, 02:16 AM
 
katt's Avatar
 
Join Date: Nov 2001
Location: The Great NorthWest
Posts: 3,406
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I had some bleeding, enough that my mw told my dh to feed me iron rich foods for dinner and a while (thus broccoli beef, yum). I think there was even thought of transfer, but no one mentioned anything to me.

My MW never did any fundal 'massage' (if you can call it that)

I figure if I start bleeding too much I'll take a bite of my placenta.  That should stop things pretty well.

katt is offline  
#10 of 229 Old 02-23-2012, 11:32 AM
 
dovemama's Avatar
 
Join Date: Dec 2011
Posts: 345
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by JPiper View Post

I don't know what made me start reading this thread but ooch!  It brings back some squishy and unpleasant memories....  Good luck!



Yikes, me too. I am not ready for those pains again!

dogretro likes this.

 

 

dovemama is offline  
#11 of 229 Old 02-29-2012, 10:13 AM
 
angelpie545's Avatar
 
Join Date: Feb 2005
Location: Near water, with a refreshing rain
Posts: 6,674
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

My first two births were with my midwives, and I can't quite remember if I have fundal massage after their births.  I had some pretty bad bleeding with my first, nearly passed out and had to have an IV, so I'm rather certain that's what they did.  It was almost 12 years ago (my baby is so big! lol) so I can't recall exactly.  #2 is kind of a blur as well.  I know with my son in the hosptial they definitely did it, but I had an epi so I didn't feel much.  I do remember that it was very uncomfortable and doing a lot of the massaging myself.  I didn't bleed excessively that time, though. 


Bethany, crunchy Christian mom to Destiny (11) Deanna (9), and Ethan (2)

angelpie545 is offline  
#12 of 229 Old 03-01-2012, 10:28 AM
 
srmomof2's Avatar
 
Join Date: Feb 2012
Posts: 7
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

One of the midwifes I had for my last baby prepared us in class for it- it is called fundal massage, but she would joke and say it is "more like fundal punching."  Maybe the nurse or midwife you had probably should have warned you first what they were doing.  A little "I'm going to massage your uterus to make sure it clamps down and slows bleeding.  It will be uncomfortable." would go a long way in warning you about what needs to be done. 

srmomof2 is offline  
#13 of 229 Old 03-01-2012, 11:02 AM
 
LiLStar's Avatar
 
Join Date: Jul 2006
Location: WA
Posts: 3,356
Mentioned: 2 Post(s)
Tagged: 0 Thread(s)
Quoted: 20 Post(s)

I've never had excessive bleeding, but I can totally understand that if there IS excessive bleeding, or the uterus doesn't seem to be shrinking or contracting the way it needs to, or suspected retained placenta, or whatever *abnormal* thing is happening, that unpleasant measures might need to be taken which, though unpleasant, are better than, say, bleeding out and dying. That said, never, in 3 births (1 c-section, 2 hbac) has anyone ever done more than very gently feel for the location of my fundus to verify that it was firm and shrinking. It has never been painful or even uncomfortable. Since everything was normal, nothing else was done.. as it should be.. if its not broken, don't fix it. 

andisunshine likes this.

dd (7) ds (5), ds (2) &3rdtri.gif hbac.gif and the furbabies cat.gifZeus, Dobby, Luna, & Ravenclaw
LiLStar is online now  
#14 of 229 Old 03-02-2012, 06:11 AM
 
ExperientialMom's Avatar
 
Join Date: Feb 2012
Posts: 3
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I'm only in my first pregnancy, so I can't offer any advice or direct experiences. My friend (a true trooper in the delivery room!) mentioned that the nurses "pushed" on her stomach afterward, but she didn't present it as a big deal. Thank you for your insight; I'll be sure to mention to the nurses in the beginning stages of delivery that I'd appreciate a heads up and/or gentle massage rather than hard pushing. I can see that massages are necessary (or helpful), but I'm sure there are different ways to do it.

ExperientialMom is offline  
#15 of 229 Old 03-02-2012, 08:06 AM
 
cappuccinosmom's Avatar
 
Join Date: Dec 2003
Location: SW Pennsylvania
Posts: 5,628
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

This was done to me with my last 3 births.  And though I was in a hospital, it was midwive who were caring for me.  The one that started it, I bled very badly, so from now on they do it preventatively.

 

Yes, it hurts.  This last time they did it very mildly to start with, but because of the amount of blood and size of the clots, they got more vigorous.  It was seriously as bad as labor.  But I would rather that than bleed out.  And because I knew what the midwives were doing, and the reasoning behind it, I was OK with what was going on.

journeymom likes this.
cappuccinosmom is offline  
#16 of 229 Old 03-05-2012, 09:31 AM - Thread Starter
 
Carrissa's Avatar
 
Join Date: Jul 2006
Location: Bainbridge Island, WA
Posts: 67
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

The thing with it was that she never said I had excessive bleeding or that it was too much blood to be comfortable with. I wasn't even lightheaded and yet, she was like a nazi about it. It was not a massage - punching was a more accurate term!

 

 

Carrissa is offline  
#17 of 229 Old 03-07-2012, 12:28 AM
 
kitson's Avatar
 
Join Date: Mar 2012
Posts: 12
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

My grandma was a nurse before and she did this, but I don't know why.

kitson is offline  
#18 of 229 Old 03-12-2012, 05:02 PM
 
womenswisdom's Avatar
 
Join Date: Jan 2008
Location: in my skin
Posts: 939
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
When the placenta detaches from the uterine wall, the blood vessels that have been supplying it for the past 9 months are still open. They are interwoven with the muscle fibers of your uterus, so if your uterus contracts down, you will not bleed too much. If the uterus does not contract down well, the blood vessels will continue to bleed freely. When a nurse or midwife checks your uterus after birth, they are feeling for the tone of the uterus - firm or boggy. If it does not feel firm, the first thing they need to do is to cause it to contract, which is what fundal massage does. If your uterus is boggy, it's going to hurt more than a uterus that is clamping down nicely - unfortunately, if you need it, it's going to hurt. Sometimes, more vigorous massage is necessary to expel clots that can block the cervical opening and cause concealed bleeding. Also, anything in the uterus can prevent it from contracting effectively, so the clots need to come out. So that's the deal with the fundal massage. smile.gif
journeymom likes this.

Fledgling midwife on hiatus, Wife to B, mama to C (c/s ribboncesarean.gif 12/04) and S hbac.gif (12/07), angel3.gif m/c (3/12) and expecting another bean 6/13 stork-suprise.gif.

womenswisdom is offline  
#19 of 229 Old 03-15-2012, 09:50 AM
 
Buzzbuzz's Avatar
 
Join Date: Aug 2011
Posts: 317
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Isn't that one of the advantages of an epidural -- that fundal massage, if needed, isn't painful?


I support homebirth that meets the qualifications set forth in the AAP's 2013 policy on homebirth.

Buzzbuzz is offline  
#20 of 229 Old 03-15-2012, 10:00 AM
 
Zenmama1's Avatar
 
Join Date: Aug 2011
Posts: 92
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I don't recall having this done to me. But my OB did gently massage my belly as she pulled my placenta out. Maybe she didn't need to be rough because I breastfed immediately?? Since BF makes the uterus contract I wouldn't think it would be necessary to do a rough massage.
Zenmama1 is offline  
#21 of 229 Old 03-15-2012, 10:10 AM
 
Slmommy's Avatar
 
Join Date: Jan 2012
Posts: 875
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

 I have read delivering the placenta in a vertical position will aid in the uterus clamping down as the weight from your organs above helps. Of course that is not always an option in some settings or with epidural.

Slmommy is offline  
#22 of 229 Old 03-15-2012, 10:28 AM
 
Buzzbuzz's Avatar
 
Join Date: Aug 2011
Posts: 317
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Depends on the nature of the epidural...


I support homebirth that meets the qualifications set forth in the AAP's 2013 policy on homebirth.

Buzzbuzz is offline  
#23 of 229 Old 03-15-2012, 12:33 PM
 
Slmommy's Avatar
 
Join Date: Jan 2012
Posts: 875
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I thought walking epidurals were not allowed in all hospitals?

Slmommy is offline  
#24 of 229 Old 03-17-2012, 01:55 PM
 
phathui5's Avatar
 
Join Date: Jan 2002
Location: Oregon
Posts: 17,478
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by Buzzbuzz View Post

Isn't that one of the advantages of an epidural -- that fundal massage, if needed, isn't painful?

 

No, since it's something that's done postpartum.

 

 


Midwife (CPM, LDM) and homeschooling mama to:
13yo ds   10yo dd  8yo ds and 6yo ds and 1yo ds  
phathui5 is offline  
#25 of 229 Old 03-19-2012, 05:52 PM
 
Buzzbuzz's Avatar
 
Join Date: Aug 2011
Posts: 317
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Actually, isn't it usually done almost immediately post-partum?  A friend says she had it performed while the epidural remained in place (also remained in place for a short while after delivery to deal with afterpains).


I support homebirth that meets the qualifications set forth in the AAP's 2013 policy on homebirth.

Buzzbuzz is offline  
#26 of 229 Old 03-21-2012, 01:42 AM
 
branditopolis's Avatar
 
Join Date: Mar 2011
Location: CA
Posts: 279
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I don't know how I stumbled upon this thread but...

 

This didn't happen to me.  I was hemmoraging because I take blood thinners but no one massaged me, they just kept checking and changing my pads.  Could they have not done it because it might release too much blood?


knit.gifmama to  thumbsuck.gif (09/11)

branditopolis is offline  
#27 of 229 Old 03-24-2012, 05:39 AM
 
Lizbiz's Avatar
 
Join Date: Jun 2008
Location: USA
Posts: 500
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I've had two homebirths and have never had this done.  And no one ever pulled my placenta out either; I just pushed it out all on my own.  Afterward, I almost immediately started nursing my baby, and we just checked periodically to make sure the uterus was clamping down ok.  

 

My dad is a doc and has delivered a few 1000 babies ;) - and he has told me of a few times where he's had to do fundal massage in order to convince a lax uterus to contract appropriately.  But he's never mentioned that being standard protocol - he did it only when there actually was an issue, not as a preventative measure.  The uterus, when left to its own devices, generally gets things right.  But if you are pulling on the placenta to get it out, I can see that you may need to do this, since it's not being given time to do its own thing.

 

Reading the nurse's explanation - it seems like just one more thing they think they MUST do to ensure your safety.  Really, it seems to me that simply checking that the uterus is clamping down periodically and educating the mother on what normal bleeding looks like (which is what my midwife did) should be sufficient to ward off issues. 

 

 


Lizbiz, wife to my man who makes me smile, and mom to one bouncy boy (08/07), one sassy girl (12/09), and one sweet new boy (08/12).

Lizbiz is offline  
#28 of 229 Old 04-06-2012, 10:27 AM
 
holly6737's Avatar
 
Join Date: Dec 2006
Posts: 1,445
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Fundal massage is standard protocol, and should be done in all births. It's a part of the "active management of third stage" which is encouraged by the WHO. It prevents uterine atony and PPH. It is an imperative part of the birthing process, unless you want to lose an uncommon amount of blood. It can hurt, but it's very important. Nurses and midwives don't push on your belly to hurt you, they push on your belly to control postpartum bleeding.


CNM mama.

holly6737 is offline  
#29 of 229 Old 04-06-2012, 11:01 AM
 
Slmommy's Avatar
 
Join Date: Jan 2012
Posts: 875
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by holly6737 View Post

Fundal massage is standard protocol, and should be done in all births. It's a part of the "active management of third stage" which is encouraged by the WHO. It prevents uterine atony and PPH. It is an imperative part of the birthing process, unless you want to lose an uncommon amount of blood. It can hurt, but it's very important. Nurses and midwives don't push on your belly to hurt you, they push on your belly to control postpartum bleeding.


I saw an ob/gyn about 12 hours after my UC, and he commented about how nicely my fundus had contracted down. He also didn't seem to think I was losing or had lost an uncommon amount of blood. I delivered baby and the placenta in upright positions, nursed my baby, and took sheperd's purse after. No fundal massage. shrug.gif

 

Personally, this type of healthcare - an exam/procedure is indicated or necessary sometimes for someone in some circumstance = everyone must do in every case all the time, is the kind of care I am seeking to avoid.

 

 

Slmommy is offline  
#30 of 229 Old 04-06-2012, 01:28 PM
 
justKate's Avatar
 
Join Date: Jun 2008
Location: Gloucester Point, VA
Posts: 3,568
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Quote:

Originally Posted by slmommy View Post

I thought walking epidurals were not allowed in all hospitals?


At my hospital, I was told that it was ultimately up to the anesthesiologist. 
 


justKate is offline  
Reply

Tags
Pregnancy

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off