Hi Dust
Massage of the uterus is not done if all is normal, however if you are bleeding more than normal then uterine massage can help to stop the bleeding.
For the uterus to stop bleeding it needs to contract. Sometimes this does not happen and you continue to bleed. Massaging the uterus is one way to help it contract. (the injection you had also does this as does breastfeeding).
I would say that you probably did have a heavy bleed if extra midwives were called. Many women who have a PPH do not need a transfusion, this would depend on how much blood you lost and to some degree your ferritin levels and your HB at the time of birth.
To fully explain how your uterus contracting stops the bleeding would be a little long to post as an answer to a question but if you or anyone else reading this would like to know I would be happy to post a full explanation here.
If you have any more questions I will be happy to answer them
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Alan (Midwife) Your Midwife ~ Private Midwifery For Home or Hospital
Birth belongs to the women having babies the rest of us, whatever our official titles, are there to assist her; not manage her!
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