What is an important factor to consider during fundal massage?

Confirming that the placenta has delivered is crucial before performing fundal massage, as it ensures that the uterus is in the proper state to respond to the massage. Fundal massage is intended to help the uterus contract and prevent postpartum hemorrhage. If the placenta has not been delivered, massaging the uterus may cause more harm, potentially leading to complications such as retained placenta or further bleeding.

When the placenta is still attached, the uterus may not contract effectively, and massage could create additional pressure that may not be safe. Thus, the delivery of the placenta is a fundamental prerequisite for administering fundal massage effectively and safely. This understanding emphasizes the importance of assessing the maternal condition and the status of the placenta prior to intervention.