Measuring the height of the uterine fundus is a routine practice during pregnancy check-ups. This measurement helps medical professionals monitor fetal growth and development and identify any possible complications during pregnancy. It also allows them to track the position and growth of the fetus as it reaches its full term.
To correctly measure the height of the uterine fundus, there are a few essential steps to follow:
Step 1: Gather the required tools
First, you need to gather the necessary tools. These include a tape measure, a comfortable examination table, and a pillow to support the patient’s back. The measuring tape should measure at least 100 centimeters long.
Step 2: Position the patient
Once you have the required tools, position the patient appropriately. The patient needs to lie down comfortably on the examination table, with her knees slightly bent. It would help if you then placed a pillow or a cushion under her back to support her.
Step 3: Locate the uterine fundus
Next, locate the uterine fundus. The uterine fundus is the topmost portion of the uterus and is typically located above the pubic bone. To locate the fundus, carefully press down with your fingers above the pubic bone and move your fingers upward until you reach the top of the uterus.
Step 4: Measure the height of the fundus
After locating the uterine fundus, you can begin measuring its height. Place the tape measure vertically against the patient’s skin, starting from the pubic bone and stretching it to the top of the uterus. Take note of the measurement and record it in the patient’s medical chart. It is essential to measure the height of the uterine fundus in centimeters.
Step 5: Calculate the expected fundal height
Finally, calculate the expected fundal height. The expected fundal height is the measurement of the fundus based on the length of the pregnancy. This measurement gives a rough estimate of the fetal growth and development and helps identify any possible complications.
To calculate the expected fundal height, you need to multiply the length of the pregnancy by two. For example, if the pregnancy is 20 weeks, you need to multiply 20 by two, which gives you a measurement of 40 centimeters. This means that the expected fundal height should be 40 centimeters when measuring the height of the uterine fundus during a 20-week check-up.
In conclusion, measuring the height of the uterine fundus is an essential practice during pregnancy check-ups. By following the above steps, medical professionals can monitor fetal growth and development accurately and identify any possible complications. It is important to note that while these steps provide essential guidelines, they should not replace proper medical training. Therefore, it is always recommended to seek the assistance of a medical professional when measuring the height of the uterine fundus.