REPLAY: EBB 267 - Debunking Myths about Fundal Massage with Barbie Christianson, RN

Fundal massage, also known as uterine massage, is often performed as a routine procedure after birth, but research shows it does little to prevent postpartum hemorrhage and can be painful for many. On today's replay episode of the EBB Podcast, nurse, community educator, and advocate Barbie Christianson joins Dr. Rebecca Dekker to talk about the myths surrounding this common postpartum procedure and how it connects to broader patterns of obstetric violence in maternity care.

Barbie explains the difference between a fundal assessment, a routine massage, and the massage used to treat active postpartum hemorrhage, and walks through what the evidence actually shows about each approach. She also shares trauma-informed scripts that nurses and providers can use to explain what they are doing and obtain informed consent, even in urgent, fast moving situations. Learn how unit culture, staffing, and fear based practice patterns can affect whether an unnecessary intervention becomes the default standard of care, and how to speak up and advocate for respectful care.

(02:40) Barbie's path from special education to labor and delivery nurse

(04:36) Witnessing obstetric violence as a new nurse and learning the term

(10:52) Defining fundal assessment versus fundal massage

(18:06) When uterine massage is actually medically necessary

(22:07) Recap: fundal assessment, routine massage, and massage for active hemorrhage

(23:01) What the research says about routine fundal massage

(26:04) How forceful and painful routine massage can be without consent

(30:35) Misinformation about fundal massage on social media

(34:11) Scripts for advocating for yourself if massage is done without medical need

(37:00) How to assess and massage your own fundus after birth