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- Discontinuing fundal massage
- Leg elevation
- Initiate methylergonovine maleate (Methergine)
- Initiate Terbutaline
- Foley catheter insertion
Subinvolution is when the uterus fails to return back to its normal size. Uterine contractions are necessary at this time, because that's what facilitates it returning to its normal size. Therefore, stopping fundal massage is not a good idea. This is actually counter-productive, as is terbutaline. Nothing in the stem of the question has provided enough clinical justification for an indwelling urinary catheter. Leg elevation and methylergonovine maleate (Methergine) are both appropriate interventions.
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