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going to work in post-partum



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  #1  
Old Sep 27, 2007, 04:05 PM
Registered User
Join Date: Sep 2007
Question going to work in post-partum

Is it unusual to be unable to palpate the uterus immediately after delivery?

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  #2  
Old Sep 28, 2007, 04:11 PM
Registered User
Join Date: Aug 2007
Re: going to work in post-partum

maybe it just wasn't contracted or the pt was too "plump" for it to be very obvious.

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  #3  
Old Sep 28, 2007, 04:38 PM
danissa's Avatar
danissa (Female)
I Live in aNICU
Join Date: May 2005
Re: going to work in post-partum

If you could not feel that "cricket ball" hard uterus under your hand post delivery, then you would suspect abnormal. Its very distinctive, and normally so easy to feel.Suspect then.. Maybe retained products, preventing the uterus from contracting, check the bleeding..be aware of pph.

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  #4  
Old Oct 01, 2007, 12:56 PM
NurseNora (Female)
Registered User
Join Date: Jun 2005
Re: going to work in post-partum

Two other reasons for not being able to feel uterus:
1. She's sitting up to high. It's easiest to palpate the fundus if the patient is lying flat. The "fluffier" the patient, the more important it is for her to be flat.
2. Inverted uterus. If the fundus is in the vagina, you won't feel it abdominally

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  #5  
Old Oct 01, 2007, 05:57 PM
Elvish's Avatar
Elvish (Female)
Biking RN
Join Date: Nov 2006
Re: going to work in post-partum

Also, sometimes with an earlier preterm delivery (meaning 30ish weeks) it is way below the u & you have to look lower than you normally would. I've had 24-26 weekers deliver & I'm almost right at the pubis before I find their fundus.

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