Postpartum Fundal Height Measurement Record Form
Use this form to record postpartum fundal height measurements accurately and efficiently.
Patient Full Name
*
First Name
Last Name
Date of Measurement
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Measurement
Hour Minutes
AM
PM
AM/PM Option
Postpartum Day
*
Fundal Height (cm)
*
Method of Measurement
Tape Measure
Palpation
Other
Patient Position
Supine
Semi-Fowler
Other
Examiner's Name
First Name
Last Name
Additional Notes / Observations
Submit Record
Should be Empty: