امرأة بعد الولادة الطبيعية لم تتبول منذ ٦ ساعات، والمثانة منتفخة، والرحم منحرف لليمين ومرتفع. ما الإجراء؟

After vaginal birth a woman has not voided for 6 hours; the bladder is distended and the uterus is high and deviated to the right. What is done?

1. Massage the uterus firmly without emptying the bladder
2. Give extra oxytocin immediately
3. Help her void, catheterising if she cannot
4. Restrict fluids until she feels the urge

Answer: C) Help her void, catheterising if she cannot. A full bladder displaces the uterus and prevents contraction, increasing bleeding; assist voiding or catheterise intermittently.