Uterine contraction palpation provides information about the frequency, duration, and intensity of contractions and the relaxation time between them.

The character of contractions varies with the stage of labor and the body’s response to labor-inducing drugs, if administered.

As labor advances, contractions become more intense, occur more often, and last longer.

Watch with second hand

Bath blanket or sheet for draping

Review the patient’s history to determine the onset, frequency, duration, and intensity of the contractions, noting where contractions feel strongest or exert the most pressure.

Wash your hands.

Provide privacy.

Explain the procedure to the patient.

Assist the patient into a comfortable side-lying position.

Drape the patient with a sheet.

Place the palmar surface of your fingers on the uterine fundus, and palpate lightly to assess contractions. Each contraction has three phases: increment (rising), acme (peak), and decrement (letting down or ebbing).