What should the fundus feel like during the third stage of labor?

During the third stage of labor, the fundus should feel firm and globular. This firmness indicates that the uterus is actively contracting to help expel the placenta. Proper uterine tone at this stage is crucial for minimizing the risk of hemorrhage, as a firm and contracted uterus reduces the likelihood of retained placental tissue and associated complications.

A soft and pliable fundus may suggest uterine atony, which can lead to increased bleeding and needs immediate intervention. A hard and rigid fundus might indicate potential complications such as uterine hypertonicity or other issues that could require medical attention. Lastly, a flat and non-tender fundus does not reflect the normal physiological response expected during the third stage, as the uterus should be actively contracting. Thus, a firm and globular fundus is the desired and healthy characteristic during this stage of labor.