Fundal height after delivery of twins?

Specialties Ob/Gyn

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I'm a student with a case study about a G1P1 mother of twins at 37 weeks gestation. I was wondering if the location of the fundus is at the normal position (@ or 1 cm below the umbilicus) 1 hour after delivery or higher because it's more than one infant and the uterus was stretched to a larger than normal size? Thanks :)

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I'm honestly not sure about the answer to the original question. Did want to point out though that if she has given birth to twins she would be a G1P2!

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Specializes in Obstetrics, M/S, Family medicine.

hazelstudent,

yes, if it is her first pregnancy, she is a G1P2. As far as fundal height, it can be in a number of locations. You would be more worried about how firm it is and how much she is bleeding (or the number/size of clots she is producing). Since this is her first pregnancy, you may not even see a difference in fundus location than your other moms, but she IS at more risk for uterine atony, so you will need to do fundal checks possibly more often than with your other moms.

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Don't know the fundal height, either. But am reading OB right now and according to my book, para refers to a pregnancy that ends after 20 weeks, not the number of children delivered. So, after twins she actually would be G1P1.

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Specializes in Ante-Intra-Postpartum, Post Gyne.
I'm honestly not sure about the answer to the original question. Did want to point out though that if she has given birth to twins she would be a G1P2!

yes, if it is her first pregnancy, she is a G1P2.

No. She is still G1 P1 This is why we also us GPTAL; in this case it would be G1 P1 T2 A0 L2.

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Sorry- I should clarify that when we use the abbreviated "G1P2" we refer to living children, not the proper format!

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Specializes in Ante-Intra-Postpartum, Post Gyne.
Sorry- I should clarify that when we use the abbreviated "G1P2" we refer to living children, not the proper format!

You guys should do it the correct way. the P is not for living children. When we have a woman with twins we use the L to save confusion (G1 P1 L2). I guess if you are just doing it between nurses it is ok, but legally it should be charted correctly; your way would totally screw me up, but I am about doing things correctly.

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Specializes in Labor & Delivery.

I've been an L&D nurse for almost 5 years and worked in several different facilities. We have always used Para to determine number of live births. So with twins we would use a G1P2 for each child. Our docs number them the same way. I'll have to read more about numbering G's and P's.

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Specializes in OB, NICU, Nursing Education (academic).
I've been an L&D nurse for almost 5 years and worked in several different facilities. We have always used Para to determine number of live births. So with twins we would use a G1P2 for each child. Our docs number them the same way. I'll have to read more about numbering G's and P's.

You may be doing this, but it is incorrect. Para refers to pregnancies (not #of fetuses) carried (delivered) past the 20th week of gestation. Not only that, but the pregnancy does not have to produce a live infant (the pregnancy just has to end after 20 weeks) to be counted as a para!

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