Müse Parameter Descriptions325Postpartum - Basic ParametersUterine MassageThe Uterine Massage parameter determines the effect of massage on the postpartum boggy/contracted uterus.Possible choices are:Ineffective - Massage of the uterus does not cause it to contract.Effective - With Effective, successful compression of the uterus will fully contractthe boggy uterus. Five effective compressions are required before contractionoccurs. The feel of the uterus will not change for the first four massages, i.e., theuterus stays fully boggy for massages one through four. With the fifth massage,the uterus fully contracts over approximately 90 seconds and the message“Boggy uterus was declared resolved” appears in the event log.A single massage/compression consists of pressing, holding, and releasing theuterus. With each successful massage, the message “Uterine compression wasapplied” is logged in the event log, independent of uterus mode (Effective orRecurring atony). In order to completely contract the uterus, one must executefive successful compressions in Effective or Recurring atony mode.Additionally, when Vaginal Bleeding Severity is active (Mild, Moderate, Severe,or Profuse), each massage will produce a gush of blood in addition to thebleeding enabled by the vaginal bleeding severity parameter (see VaginalBleeding in the Using Fidelis Lucina section of this guide). This gush of bloodoccurs every time one presses on the uterus, whether or not the message“Uterine compression was applied” is logged in the event log, and isindependent of the uterus mode (Effective or Recurring atony).Recurring atony - With Recurring atony, the function is similar to Effective (i.e.,the boggy uterus contracts after five successful logged massages). However, 90seconds after contraction the uterus returns to the boggy state, and the message“Boggy uterus was declared resolved” does not appear in the event log.In this mode, if massage is interrupted for 90 seconds or longer before it fullycontracts, the massage count is reset, even when the uterine compressions aremarked as effective (i.e., logged as “Uterine compression was applied”).For example, if the learner applies three logged massages then waits 90 secondsor longer to apply the next massage, the ‘massage count’ resets. From this point,five effective consecutive massages (i.e., without interruption) are requiredbefore the uterus contracts.Postpartum Parameters - BasicUterine MassageResolve Boggy UterusInverted Uterus Can Be Reverted
