How should fundal height be documented postpartum?

• A. Record fundal height in centimeters above the umbilicus.
• B. Record fundal height in inches above the umbilicus.
• C. Record the fundal height in fingerbreadths relative to the umbilicus.
• D. Record fundal height only if the fundus is non-palpable.

Answer: (C)

The main idea is to track uterine involution by noting fundal height using fingerbreadths relative to the umbilicus. After birth, the uterus descends about one fingerbreadth (roughly 1 cm) per day. Recording how high the fundus sits above or below the umbilicus with fingerbreadth increments gives a quick, consistent description that allows any clinician to gauge progression of involution, regardless of hand size or measuring tools. This method communicates whether the fundus is at the level of the umbilicus, a bit above, or lower, which helps identify normal descent versus potential problems like delayed involution or hemorrhage. Using inches or centimeters at the bedside is less practical for quick communication, and waiting to document only when the fundus is non-palpable would miss important information about expected progression.