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BUBBLESHE

The document discusses postpartum uterine involution and signs of potential postpartum hemorrhage. It notes that the uterus should be firm after delivery and provides benchmarks for its position over the first 10 days as it contracts back to a non-pregnant size. Massaging the fundus, administering oxytocin, nipple stimulation, and cold compresses can help manage potential hemorrhage.

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maaaaarj
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632 views

BUBBLESHE

The document discusses postpartum uterine involution and signs of potential postpartum hemorrhage. It notes that the uterus should be firm after delivery and provides benchmarks for its position over the first 10 days as it contracts back to a non-pregnant size. Massaging the fundus, administering oxytocin, nipple stimulation, and cold compresses can help manage potential hemorrhage.

Uploaded by

maaaaarj
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Note consistency should be firm Boggy uterus maybe related to overdistended uterus; sign of uterine atony & potential

al PPH
Massage until it contracts and becomes firm

Involution begins immediately after delivery Subinvolution occurs if involution is prolonged or stopped as a result of infection, hemorrhage, or retained placental fragments.

Immediately after delivery fundus halfway between umbilicus and symphysis pubis 1 hour later rises to the level of umbilicus and stays there for the next 24 hrs

1st potspartal day 1 fingerbreadth below umbilicus 2nd postpartal day - 2 fingerbreadths below umbilicus and so forth until 10th day 10th postpartal day uterus cannot be palpated abdominally

Firmness Height Position Clots Hemorrhage

Massage the fundus Administer oxytocin as ordered Encourage nipple stimulation or breastfeeding Cold compress Check insicion site for CS

Strong uterine contractions felt particularly by multis, those who delivered large babies or twins, and those who breastfeed. Normal and rarely last for 3 days

Maternal, Neonatal, and Women's Health Nursing, Volume 1 by Lynna Y. Littleton, Joan C

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