PMID: 9171584Mar 1, 1997Paper

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
E R CluettR M Pickering

Abstract

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. A maternity unit in the south of England that has approximately 6000 deliveries per annum and the related community areas. 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). 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 measur...Continue Reading

References

Oct 1, 1976·British Journal of Obstetrics and Gynaecology·C H Rodeck, J R Newton
Dec 1, 1991·British Journal of Obstetrics and Gynaecology·C MacArthurE G Knox
Aug 1, 1989·British Journal of Obstetrics and Gynaecology·J L EngstromB A Work
Jan 1, 1985·Acta Obstetricia Et Gynecologica Scandinavica·P V BaggerL Westergaard
Apr 1, 1995·British Journal of Obstetrics and Gynaecology·C M GlazenerI T Russell

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Citations

Feb 4, 2010·Journal of Perinatal Medicine·Sabine FreiUrsula von Mandach
Nov 5, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Tuangsit WataganaraVitaya Titapant
May 18, 2011·Evidence-based Complementary and Alternative Medicine : ECAM·Ming HoShan-Yu Su
Aug 13, 2013·PloS One·Matthias Dehmer, Abbe Mowshowitz

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