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- Explain the procedure
to the mother and gain
verbal consent
- Wash hands
- Have a non-elastic tape
measure to hand
- Ensure the mother is
comfortable in a semi-recumbent
position, with an empty
bladder
- Expose enough of the
abdomen to allow a thorough
examination
|
| 1. Mother semi-recumbent,
with bladder empty. |
|
| |
|
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- Ensure the abdomen is soft
(not contracting)
- Perform abdominal palpation
to enable accurate identification
of the uterine fundus.
|
| 2. Palpate to
determine fundus with two hands. |
|
| |
|
 |
- Use the tape measure with the
centimetres on the underside
to reduce bias
- Secure the tape measure at
the fundus with one hand
|
| 3. Secure tape
with hand at top of fundus. |
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| |
|
 |
- Measure from the top of the
fundus to the top of the symphysis
pubis
- The tape measure should stay
in contact with the skin
|
| 4. Measure to
top of symphysis pubis. |
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| |
|
 |
- Measure along the longitudinal
axis without correcting to the
abdominal midline
- Measure only once
|
| 5. Measure along
longitudinal axis of uterus, note
metric measurement. |
|
| |
|
 |
Record the metric
measurement and plot it on the
growth chart.
|
| 6. Plot on customised
chart, record in notes |
|
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