Fundal, or uterine, assessment is routinely performed by nurses, midwives, and medical providers as a standard of care in the immediate recovery period after birth and postpartum. There is a long history of community based birth attendants providing fundal assessment for early identification, prevention, and intervention of complications that involve or impact the uterus. This continues in current U.S. and global medical, midwifery, and nursing standards of care. Fundal assessment, or “checks” have also been increasingly described as severely painful, traumatic, and/or as a form of obstetric violence by clients. An evidence based, trauma informed approach to fundal checks protects and promotes safety for both the client and the provider of care. In this session we will examine and enhance existing understanding of fundal assessment, trauma informed care to reduce the potential for client harm/trauma and/or provider secondary trauma.
Learning Objectives:
1. Define trauma informed care.
2. Define 3 elements of fundal assessment through an evidence-based, trauma-informed lens.
3. Describe an evidence based, trauma informed approach to fundal assessments.
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