What does fundal massage seek to achieve in postpartum care?

Fundal massage is a critical component of postpartum care aimed specifically at controlling postpartum bleeding. After childbirth, the uterus contracts to help reduce the size of the placental site and minimize blood loss. Fundal massage involves applying gentle pressure to the fundus, or the top part of the uterus, to stimulate these contractions.

By performing fundal massage, healthcare providers encourage the uterus to contract effectively, which can significantly help in managing uterine atony—a common cause of excessive bleeding in the postpartum period. Promoting uterine contraction through this technique can greatly reduce the risk of hemorrhage, thereby supporting the mother's recovery.

In contrast, the other options do not relate to the direct goals of fundal massage. Alleviating chest pain, reducing heart rate, and encouraging bowel movements address different physiological needs and are not the main focus of fundal massage in postpartum care. Thus, controlling postpartum bleeding is the primary objective of this technique and is essential for ensuring the safety and well-being of the mother after childbirth.