Obstetrics & Gynaecology · Puerperium, Rh Isoimmunization and Cesarean Section

A woman is examined routinely after an uncomplicated vaginal delivery. On which day postpartum does the fundus normally cease to be palpable above the symphysis pubis, becoming a purely pelvic organ?

  • A Day 7
  • B Day 14
  • C Day 10
  • D End of 6th week
Correct answer: B. Day 14

Explanation

The involuting uterus descends about 1 cm per day and by the end of the second week (day 14) it becomes a pelvic organ, no longer palpable abdominally. By 6 weeks it attains its nonpregnant size of about 60 g, so option D describes complete involution rather than disappearance from the abdomen. Option C (day 10) reflects the time when lochia ceases in many women, not fundal descent. A fundus still palpable abdominally after 2 weeks suggests subinvolution.

Reference: DC Dutta's Textbook of Obstetrics, 10th ed.

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