Ensure the fundus remains firm.
Massage the fundus until it is firm if the uterus should relax (see
Figure 2-10. Massaging the fundus.
(3) Massage the fundus every 15 minutes during the first hour, every 30
minutes during the next hour, and then, every hour until the patient is ready for transfer.
(4) Chart fundal height. Evaluate from the umbilicus using fingerbreadths.
This is recorded as two fingers below the umbilicus (U/2), one finger above the
umbilicus (1/U), and so forth. The fundus should remain in the midline. If it deviates
from the middle, identify this and evaluate for distended bladder.
(5) Inform the Charge Nurse or physician if the fundus remains boggy after
A boggy uterus many indicate uterine atony or retained placental fragments.
Boggy refers to being inadequately contracted and having a spongy rather
than firm feeling. This is descriptive of the postdelivery of the uterus.
f. Monitor lochia flow. Lochia is the maternal discharge of blood, mucus, and
tissue from the uterus. This may last for several weeks after birth.
(1) Keep a pad count. Record the number of pads soaked with lochia