-IBIS-1.5.0-
rx
massage
gynecological massage
physical medicine

definition

gynecological massage


type I:
patient in lithotomy position, two or three fingers of one hand held in vagina, palm of outer hand placed on abdomen
» hand in vagina is used mainly as support, while external hand is used to manipulate (rub, press, squeeze, knead, etc.) particular parts
» beginning massages not to exceed 5 min.; later massages up to 15 min.
note: in chronic salpingitis take oral temperature periodically in case infection flares

type II:
inner hand fixes part, outer hand presses and strokes with moderate force, not letting parts slip back, but gently allowing them to slide along under constant pressure, repeated 8-10 times, later up to 20 times (especially good for adhesions along adnexal tissue)

type III: like type II, but outer hand lifts or moves part to point of discomfort then relaxed while maintaining grasp

contraindications:
» acute salpingitis
» recent ovarian abscess
» other acute major gynecological infection

(Thrash, 1981, pp. 138)


footnotes