Which action best promotes uterine involution in the postpartum period?

Which action best promotes uterine involution in the postpartum period?

• A. Encourage ambulation
• B. Encourage oral fluids
• C. Massage the uterus until firm
• D. Administer analgesics

Answer: (C)

Massaging the uterus until it is firm promotes uterine involution by stimulating the myometrium to contract. After birth, the uterus is often boggy and soft; active contraction helps compress the spiral arteries at the placental site, which reduces bleeding and helps the uterus return to its nonpregnant size. Fundal massage not only makes the uterus firm but also helps expel any clots and encourages the uterus to stay midline, both of which support proper involution. After achieving a firm, midline fundus, continue to assess fundal height and lochia, repeating massage as needed if the uterus begins to feel boggy again. While ambulation, adequate fluids, and analgesics support recovery and comfort, none of these act directly to promote involution as effectively as fundal massage. If the uterus remains boggy despite massage, that signals potential atony or other complications needing further care.

Massaging the uterus until it is firm promotes uterine involution by stimulating the myometrium to contract. After birth, the uterus is often boggy and soft; active contraction helps compress the spiral arteries at the placental site, which reduces bleeding and helps the uterus return to its nonpregnant size. Fundal massage not only makes the uterus firm but also helps expel any clots and encourages the uterus to stay midline, both of which support proper involution. After achieving a firm, midline fundus, continue to assess fundal height and lochia, repeating massage as needed if the uterus begins to feel boggy again. While ambulation, adequate fluids, and analgesics support recovery and comfort, none of these act directly to promote involution as effectively as fundal massage. If the uterus remains boggy despite massage, that signals potential atony or other complications needing further care.