What is the primary reason for conducting a fundal massage immediately after delivery?

The primary reason for conducting a fundal massage immediately after delivery is to control bleeding. After childbirth, a woman's body experiences significant changes as the placenta detaches from the uterine wall. Fundal massage stimulates uterine contractions, which helps to reduce the size of the uterus and promote the retraction of blood vessels that were supplying blood to the placenta. This action is crucial in minimizing the risk of postpartum hemorrhage, a potentially life-threatening condition.

While preventing infection, stimulating lactation, and reducing pain are important aspects of postpartum care, they are not the primary focus of fundal massage. Infection prevention is addressed through other measures, such as maintaining sterile techniques and monitoring for signs of infection. Lactation stimulation is typically achieved through different methods, such as skin-to-skin contact and breastfeeding. Pain management is also managed separately, often with medication or comfort measures. Thus, controlling bleeding remains the most immediate and vital reason for performing fundal massage in the postpartum period.