What is the primary goal of massage in a patient with a boggy fundus after delivery?

The primary goal of massage in a patient with a boggy fundus after delivery is to help firm the uterus and prevent hemorrhage. A boggy fundus indicates that the uterus is not contracting effectively, which can lead to complications such as postpartum hemorrhage. Massage stimulates uterine contractions, aiding in the retraction of the uterine muscle fibers to help the uterus become firmer. This is crucial for controlling bleeding and ensuring the uterus returns to its normal size after childbirth.

While promoting relaxation, encouraging breast milk production, and reducing anxiety are important aspects of postpartum care, they are secondary when addressing the immediate concern of a boggy fundus. The priority is to stabilize the patient by addressing potential hemorrhage through effective uterine massage.