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An atonic uterus can feel soft, "boggy" and/or enlarged. [2] Bleeding from the cervical os is also common. If the atony is localized to one area of the uterus, the upper, fundal region may still be squeezing while the lower uterine segment is non-functional. This can be difficult to see with a cursory abdominal examination and easily overlooked.
As the uterus returns to its nonpregnant size, its muscles contract strongly, which can cause pain. Fundal massage can be performed with one hand over the pubic bone, firmly massaging the uterine fundus (the top of the uterus), or with the addition of one hand in the vagina compressing the two uterine arteries.
These evidence-based guidelines cover topics like fetal heart rate monitoring, labor induction, neonatal skin care, [4] care of the late preterm infant, [5] breastfeeding, HPV counseling, neonatal hyperbilirubinemia, nursing staffing, [6] and care of the patient in the second stage of labor.
A boggy uterus is a finding upon physical examination where the uterus is more flaccid than would be expected. It can be associated with uterine atony. [1]
It feels boggy and softer upon palpation. The presence of features responsible for subinvolution may be evident. Causes. Predisposing factors. Grand multiparity;
Immediately after delivery, the fundus of the uterus begins to contract. This is to deliver the placenta which can take up to 30 minutes and may involve a feeling of chills. [8] In a normal and healthy response it should feel firm and not boggy. It begins to involute with contractions of the smooth muscle of the uterus. It will contract midline ...
Obstetrical nursing, also called perinatal nursing, is a nursing specialty that works with patients who are attempting to become pregnant, are currently pregnant, or have recently delivered. Obstetrical nurses help provide prenatal care and testing, care of patients experiencing pregnancy complications, care during labor and delivery, and care ...
A birth attendant, who may be a midwife, physician, obstetrician, or nurse, is trained to be present at ("attend") childbirth, whether the delivery takes place in a health care institution or at home, to recognize and respond appropriately to medical complications, and to implement interventions to help prevent them in the first place ...