Ch 18 Flashcards
is composed of superficial layers of the endometrial decidua that are shed through the vagina during the first three postpartum weeks.
Lochia
Behanechol / urecholine
دواء بعطيه لتحفيز ال detruser muscle المسؤولة عن انقباض المثانة وتفريغها من ال exceed residual volume في حالة ال hypotonic bladder
cause 15% of excessive postpartum bleeding.
Laceration
Risk factors of laceration ( 3 vaginal delivery)
Uncontrolled vaginal delivery (most common),
difficult delivery, and
operative vaginal delivery.
causes 5% of excessive postpartum bleeding.
Retained placenta j
Diffuse oozing
DIC
most common cause of atelectasis
General anaesthesia with incisional pain
Manegmat of atelectasia
Pulmonary exercises,
Ambulation
X- ray unnecessary .
Costovertebral flank tenderness
UTI postpartum
Clinical features of UTI postpartum
High fever, costovertebral flank tenderness, positive urinalysis (e.g., WBC, bacteria) and urine culture
is the most common cause of postpartum fever.
Endometritis
Clinical Findings of endometriosis .
Moderate-to-high fever with exquisite uterine tenderness. Peritoneal signs may be absent but peristalses present
Clinical Findings of endometriosis .
Moderate-to-high fever with exquisite uterine tenderness. Peritoneal signs may be absent but peristalses present
Picket fence” fever PP
Septic thrombophlebitis
(بعالجه ب full heparinisation )