Cluett, E. R., Alexander, J. and Pickering, R., 1997. What is the normal pattern of uterine involution? An investigation of postpartum uterine involution measured by the distance between the symphysis pubis and the uterine fundus using a paper tape measure. Midwifery, 13 (1), pp. 9-16.
Full text not available from this repository.
Objective: to describe normal postnatal uterine involution in a small sample of healthy primiparous women, and estimate the proportion who have a decline in the distance between the symphysis pubis and the uterine fundus (S-FD) slow enough to have the potentiality to trigger further clinical action, using currently accepted criteria for intervention. Setting: a maternity unit in the south of England that has approximately 6000 deliveries per annum and the related community areas. Methods: daily measurement of the S-FD was carried out in 28 healthy women from within 18 hours of delivery until the uterine fundus was no longer palpable abdominally. Graphs showing the daily measurements and correlation coefficients were used to describe involution. The proportion of healthy women who would have been identified as healthy by the screening method was estimated (its specificity). Findings: considerable variability was found in the pattern of uterine involution that was experienced by the women who had a normal puerperium. The measurement of the S-FD has a low specificity with only 6 of the 28 women (21.4%; 95% CI 8.3% to 40.9%) having had no episodes of the S-FD declining slowly (less than 1 cm over three days). There was a weak, positive correlation between the S-FD measurement on day one and the day on which the uterus ceased to be palpable (r = 0.426, P = 0.03). No relationship was found between method of baby feeding and the day on which the uterus ceased to be palpable. Implications for practice: the measurement of S-FD using a paper tape measure should not form part of routine postpartum assessment.
|Uncontrolled Keywords:||Uterine involution; Postpartum uterine involution|
|Subjects:||Technology > Medicine and Health|
|Group:||School of Health and Social Care > Centre for Midwifery, Maternal and Perinatal Health|
|Deposited By:||Mr Adam Field|
|Deposited On:||11 Sep 2007|
|Last Modified:||07 Mar 2013 14:42|
|Repository Staff Only -|
|BU Staff Only -|
|Help Guide -||Editing Your Items in BURO|