How often should the fundus be checked in the first hour after delivery?

The recommended frequency for checking the fundus in the first hour after delivery is every 15 minutes. This interval allows healthcare providers to closely monitor for any signs of uterine atony or other complications such as hemorrhage. The first hour postpartum is a critical time for assessing the tone of the uterus, ensuring it is firm, which helps to prevent excessive bleeding. By checking every 15 minutes, caregivers can quickly identify any issues and intervene promptly, promoting patient safety and effective postpartum care.

While other intervals may seem practical, they do not offer the same level of vigilance required during this crucial time frame immediately following delivery. A longer interval, such as every 30 minutes or even hourly, may lead to delayed detection of problems, thus increasing the risk of serious complications.