What is an abnormal finding when assessing the uterus postpartum?

Heavy bleeding is considered an abnormal finding when assessing the uterus postpartum because it can indicate potential complications such as uterine atony, retained placenta, or lacerations of the birth canal. After delivery, the uterus should usually contract firmly, which helps to minimize bleeding by compressing the blood vessels that were connected to the placenta. A firm fundus is a sign that the uterus is contracting appropriately, while a position at the umbilicus is typical for the immediate postpartum period as the uterus begins to involute. Additionally, a downward movement of about 1 cm per day reflects the normal process of uterine involution, where the uterus shrinks back to its pre-pregnancy size. Therefore, heavy bleeding stands out as a significant concern that requires immediate evaluation and intervention to ensure the safety of the mother.