Fundus palping

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Hi Everyone,

Are you palping or not palping the fundus in your routine postnatal check?? I was never taught to, but not encouraged not too.... I usually check it if i'm concerned about the amount of lochia.... but i'm starting to rethink this after a c-sec patient had a PPH on the ward....

I would appreciate your thoughts thanks (and where your from too)

love kim

Are you sure you understood correctly? I cannot immagine anyone associated with recovery of a delivered patient not checking the fundus by palpation. As said by others you cannot adequately assess position, firmness, and size without touching the patient.

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Specializes in Nurse Leader specializing in Labor & Delivery.

OP, are you a CNM? I gleaned that from your username, yet it doesn't mesh with the question you're asking, that any student who has done a rotation in OB should know the answer to.

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Specializes in NICU, Post-partum.
OP, are you a CNM? I gleaned that from your username, yet it doesn't mesh with the question you're asking, that any student who has done a rotation in OB should know the answer to.

Oh yeah!

When I was in school, my big joke was, "If I don't learn anything else about OB, when in doubt, palpate the fundus."

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Specializes in neonatal, womens health.

Hi Clone,

Our charts don't have a spot for anything but your normal observations and we write in a row for wound, fundus, PV loss, etc. Usually the girls either have wound or fundus on their though, not both... I think this is where i have got my fundus palping idea on Vagainal births only from and it has never been corrected/clarified for me.

Thank you Everyone very much for your imput and i will definately be palping all fundus' from now on

love kim

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