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BUBBLESHE
BUBBLESHE
al PPH
Massage until it contracts and becomes firm
Involution begins immediately after delivery Subinvolution occurs if involution is prolonged or stopped as a result of infection, hemorrhage, or retained placental fragments.
Immediately after delivery fundus halfway between umbilicus and symphysis pubis 1 hour later rises to the level of umbilicus and stays there for the next 24 hrs
1st potspartal day 1 fingerbreadth below umbilicus 2nd postpartal day - 2 fingerbreadths below umbilicus and so forth until 10th day 10th postpartal day uterus cannot be palpated abdominally
Massage the fundus Administer oxytocin as ordered Encourage nipple stimulation or breastfeeding Cold compress Check insicion site for CS
Strong uterine contractions felt particularly by multis, those who delivered large babies or twins, and those who breastfeed. Normal and rarely last for 3 days
Maternal, Neonatal, and Women's Health Nursing, Volume 1 by Lynna Y. Littleton, Joan C