Involution Of The Uterus

Question 1

What are the 3 processes of involution of the uterus?

Answer 1

Ischaemia- haemostasis to control blood flow and contraction and retraction after the third stage to reduce the uterus size to return to its pre pregnancy size tone shape and position
Autolysis- the reduction of myometrial cells in size and the breakdown of intercellular protein
Phagocytosis- removal of excess fibrous and elastic tissue incomplete and some remains

Question 2

Define involution of the uterus

Answer 2

The contraction and retraction of the uterus back to its pre pregnancy size position and tone which is characterised by the reduction in the size of the myometrial cells

Question 3

What can delay involution of the uterus? (1mk)

Answer 3

Retained products/infection

Question 4

After birth how long does it take for the uterus to return to its pre pregnant size and position? (1mk)

Answer 4

By 6 weeks after delivery

Question 5

Is this statement true or false?

“Involution of the decidua is characterised by a decrease in size of the the organ by recursion in the number of cells?”

Answer 5

False

It’s characterised by reduction in size of myometrial cells by their number

Question 6

What is the physiological definition of the PN period? (2mks)

Answer 6

The time after childbirth lasting 6-8 weeks during which te physiological changes brought about by child birth resolves and the woman adjusts to motherhood

Question 7

What is the professional definition of the PN period? (2mks)

Answer 7

The period of time after the end of the third stage during which the attendance of the midwife upon mother and baby is required being no less than 10 days and for as long a period as the midwife sees necessary