What to check for uterine (uterus) health in a maternal (mother) check?

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From the Guidelines

During a maternal uterine check, healthcare providers should assess uterine size, position, consistency, and tenderness, as well as evaluate uterine tone, and check for abnormal bleeding patterns, as recommended by the most recent and highest quality study 1.

Key Aspects of Uterine Health

The examination typically includes:

  • Checking the uterine size, position, consistency, and tenderness through abdominal palpation
  • Measuring the fundal height to track fetal growth and uterine expansion
  • Evaluating uterine tone to prevent postpartum hemorrhage
  • Noting any abnormal bleeding patterns that may indicate complications
  • Assessing for uterine tenderness, lochia, or symptoms of inflammation, as well as pelvic floor dysfunction, vaginal discharge or bleeding, and perineal pain 1

Imaging Considerations

In cases where ultrasound is not sufficient, MRI can be considered for the assessment of the endometrium, especially when there are limitations to transvaginal ultrasound (TVUS) due to uterine position, patient body habitus, or presence of uterine pathology 1.

Additional Assessments

Providers should also:

  • Listen for fetal heart tones using a Doppler device and assess for contractions, noting their frequency, duration, and intensity
  • Check for proper uterine involution and ensure the placenta was completely expelled after delivery
  • Assess bowel and urinary function, and check for faecal or urinary incontinence, as well as perineal or anal sphincter injury 1 These assessments help identify potential complications, allowing for timely intervention to protect both maternal and fetal health.

From the Research

Uterine Health Check

To check for uterine health in a maternal check, the following aspects should be considered:

  • A comprehensive history and physical examination, including a pelvic examination with speculum and bimanual components 2
  • Evaluation of menstrual history to identify any abnormal uterine bleeding (AUB) or heavy menstrual bleeding (HMB) 3, 4, 2
  • Use of the PALM-COEIN classification system to determine the underlying cause of AUB 3, 2
  • Performance of a pregnancy test and complete blood count (CBC) with platelets 2
  • Consideration of medical history and symptoms to determine the need for a pelvic examination 5

Diagnostic Tests

Diagnostic tests that may be used to evaluate uterine health include:

  • Pelvic examination to assess the size and location of any uterine fibroids or other abnormalities 6, 5
  • Ultrasound to determine the size and location of uterine fibroids or other abnormalities 6
  • Transvaginal ultrasound or magnetic resonance imaging (MRI) scan to identify uterine fibroids or other abnormalities 4

Risk Factors

Risk factors that may increase the likelihood of uterine health issues include:

  • Age, with the incidence of uterine fibroids peaking in the fifth decade of life 6
  • Ethnicity, with uterine fibroids being more common in African American women 6
  • Family history of uterine health issues, such as cervical dysplasia or gynecologic malignancy 5

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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