Is it okay if the abdomen wasn't pressed after a vaginal delivery?

Feb 13, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, whether there is an impact from not pressing on the abdomen after a vaginal delivery depends on the specific circumstances. If the mother has a good physical condition and the uterus contracts well, there is usually no problem. However, if the mother is physically weak and experiences uterine atony (poor uterine contraction), then there may be some effects. Appropriate ambulation (walking) can help with the expulsion of residual materials from the uterine cavity and promote physical recovery.

Generally speaking, whether not pressing the abdomen after a vaginal delivery has an impact depends on the specific circumstances. If the mother has a good physical condition and the uterus contracts well, there usually is no problem. However, if the mother is physically weak and experiences weak uterine contractions, it may have certain effects. Detailed analysis is as follows:

After vaginal delivery, pressing the abdomen mainly aims to help the uterus contract. If the mother is in good physical condition and the uterus contracts well without issues such as poor contraction, excessive bleeding, or uterine prolapse, then generally no significant problems will occur even without abdominal pressing.

If the mother is physically weak and experiences uterine atony during vaginal delivery, symptoms may include heavy vaginal bleeding with dark red blood that does not stop spontaneously, a soft uterus with unclear contours, or incomplete expulsion of the placenta. In such situations, not pressing the abdomen after delivery may lead to severe complications. If massive bleeding is not treated promptly, it may cause hemorrhagic shock, endangering the mother's life. Retained placental tissue can affect uterine contraction, lead to infection, and seriously impair the mother's health and postpartum recovery.

Moderate ambulation can help expel residual materials from the uterine cavity and promote physical recovery. However, the mother should avoid strenuous activities and excessive fatigue to prevent bleeding or other discomforts.

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