Effect of Fundal Massage Technique and alternative leg lifting exercise on after pain Severity and uterine involution among Multipara Women

Background: After pain, is a crampy pain in the abdomen, determinant of uterine involution, which is more
clinically observed among multipara women in the first days postpartum after a normal vaginal delivery. Aim of this
study is to: assess the effect of fundal massage technique and alternative leg lifting exercise on after pain severity and
uterine involution among multipara women. Subjects and Methods: Research design: Quasi experimental study
design with pre and post-test &control group was utilized in the current study. Setting: The study was conducted at the
postpartum unit and outpatient clinic - maternity hospital at zagazig University Hospital, Subjects: Totally 100
postnatal mothers were recruited to participate in the study using purposive sampling technique, 50 women as
experimental group and the other 50 women as control group. Tools of data collection: Five tools were used for data
collection; structured interviewing questionnaire, pain level assessment scale, modified fundal assessment scale, fundal
massage & alternative leg lifting exercise (only for experimental group). Results: Indicated that; pain perception had
been reported commonly among women in the experimental group, level of pain scale and progress of uterine
involution had been improved after providing fundal massage and alternative leg lifting exercise. Conclusion: The
study concluded that; rendering a selected nursing intervention to mothers in the postnatal period was effective and
beneficial in reducing the level of afterbirth pain and improving uterine involution. Recommendations: based on the
findings of the current study the following recommendations are suggested: Because after pain is a sign of uterine
involution, hospital should provide strong guidelines and counselling concerning a full examination of after pain for all
mothers in the postnatal period in maternity care centers