Obstetrics & Gynaecology · Puerperium, Rh Isoimmunization and Cesarean Section

On routine postnatal examination, from which day after delivery does the uterus normally cease to be palpable above the symphysis pubis?

  • A End of the first week
  • B By the end of two weeks
  • C By the end of four weeks
  • D By the end of six weeks
Correct answer: B. By the end of two weeks

Explanation

The involuting uterus descends about 1 cm per day and becomes a pelvic organ, impalpable abdominally, by approximately the end of the second week. By six weeks it approaches its non-pregnant size and weight of about 60 to 80 g, but abdominal palpability is lost much earlier, around day 10 to 14. This daily descent is the clinical basis for detecting subinvolution.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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