L12: Puerperium Flashcards
Def of Puerperium
Def of Involution
Physiological Changes of Puerperium
Physiological Changes of Puerperium
- General
Physiological Changes of Puerperium
- Pulse
Physiological Changes of Puerperium
- Temperature
Physiological Changes of Puerperium
- Weight
Physiological Changes of Puerperium
- Breast
Physiological Changes of Puerperium
- Blood
Physiological Changes of Puerperium
- Urinary System
Physiological Changes of Puerperium
- GIT
Physiological Changes of Puerperium
- Genital
Physiological Changes of Puerperium
- Lochia
Def of Lochia
Composition of Lochia
pH of Lochia
Types of Lochia
Types of Lochia
- Lochia Rubra
Types of Lochia
- Lochia Serosa
Types of Lochia
- Locia Alba
Physiological Changes of Puerperium
- Uterus
Physiological Changes of Puerperium
- Uterine Size
Physiological Changes of Puerperium
- Placental Site
Physiological Changes of Puerperium
- Endometrium
Physiological Changes of Puerperium
- Uterine Ms Fibers
Physiological Changes of Puerperium
- Uterine Blood Vessels
Physiological Changes of Puerperium
- Uterine Ligaments
Physiological Changes of Puerperium
- Afterpains
Physiological Changes of Puerperium
- Ovarian Function & Menstruation
Physiological Changes of Puerperium
- Other Genital Parts
Physiological Changes of Puerperium
- Cervix
Physiological Changes of Puerperium
- Vagina
Physiological Changes of Puerperium
- Vulva
Physiological Changes of Puerperium
- Perineum
Management of Puerperium (Postnatal Care)
Management of Puerperium (Postnatal Care)
- Observation
Management of Puerperium (Postnatal Care)
- Analgesia
Management of Puerperium (Postnatal Care)
- Fluids & Diet
Management of Puerperium (Postnatal Care)
- Early Ambulation
Management of Puerperium (Postnatal Care)
- Postnatal Exercise
Management of Puerperium (Postnatal Care)
- Perinatal Care
Management of Puerperium (Postnatal Care)
- Bladder Care
Management of Puerperium (Postnatal Care)
- Bowel Care
Management of Puerperium (Postnatal Care)
- Breast Feeding & Breast Care
Breast Feeding & Breast Care in Puerperium
Breast Feeding & Breast Care in Puerperium
- feeding should be encouraged for good physical & psychological health of mother & baby (helps involution of genital organs & enhances maternal infant interaction).
Breast Feeding & Breast Care in Puerperium
- Nipple & areola should be washed è warm water & soap before + after feed.
Breast Feeding & Breast Care in Puerperium
- Lactation should be suppressed in the following conditions ……
Management of Puerperium (Postnatal Care)
- Sexual Activity
Management of Puerperium (Postnatal Care)
- Postpartum Follow Up
Def of Puerperal Pyrexia
Etiology of Puerperal Pyrexia
Etiology of Puerperal Pyrexia
- Genital
Etiology of Puerperal Pyrexia
- Non-Genital
Dx of Puerperal Pyrexia
TTT of Puerperal Pyrexia
Def of Puerperal Sepsis
Etiology of Puerperal Sepsis
Etiology of Puerperal Sepsis
- Causative Organism
Etiology of Puerperal Sepsis
- Predisposing Factors
Etiology of Puerperal Sepsis
- Routes of Infection
Pathology of Puerperal Sepsis
Pathology of Puerperal Sepsis
- Description
Pathology of Puerperal Sepsis
- Sites
Pathology of Puerperal Sepsis
- 1ry Sites
1ry Sites of Puerperal Sepsis
- Perineum, vulva, vagina or cervix
1ry Sites of Puerperal Sepsis
- Uterus
Compare between Putrid (Localized) & Septic (Generalized) Puerperal Sepsis
Compare between Putrid (Localized) & Septic (Generalized) Puerperal Sepsis
- Severity
- Immunity
- Organism
- Uterus
- Discharge
- Time
2ry Sites of Puerperal Sepsis
2ry Sites of Puerperal Sepsis
- Pelvic Spread
2ry Pelvic Sites of Puerperal Sepsis
- Salpingoophoritis
2ry Pelvic Sites of Puerperal Sepsis
- Parametritis
2ry Pelvic Sites of Puerperal Sepsis
- Peritonitis
2ry Pelvic Sites of Puerperal Sepsis
- Pelvic Thrombophelebitis
2ry Venous Sites of Puerperal Sepsis
- Generalized
Complications of Puerperal Sepsis
Complications of Puerperal Sepsis
- Early
Complications of Puerperal Sepsis
- Late
Dx of Puerperal Sepsis
Dx of Puerperal Sepsis
- Risk Factors
Dx of Puerperal Sepsis
- Symptoms
Dx of Puerperal Sepsis
- Signs
Dx of Puerperal Sepsis
- General Signs
Dx of Puerperal Sepsis
- Abdominal Signs
Dx of Puerperal Sepsis
- Local Signs
Dx of Puerperal Sepsis
- Offensive vaginal discharge +2ry PPH.
Dx of Puerperal Sepsis
- In infected lacerations or episiotomy wound
Dx of Puerperal Sepsis
- If there is intrauterine remnants
Dx of Puerperal Sepsis
- In uterine infection
Dx of Puerperal Sepsis
- In salpingo-oophoritis
Dx of Puerperal Sepsis
- In parametritis
Dx of Puerperal Sepsis
- Speculum examination
Dx of Puerperal Sepsis
- Rectal Examination
Dx of Puerperal Sepsis
- INVx
INVx in Puerperal Sepsis
- CBC
INVx in Puerperal Sepsis
- Blood Culture
INVx in Puerperal Sepsis
- Urine analysis & culture & sensitivity testing.
INVx in Puerperal Sepsis
- Swab from upper vagina & cervix
INVx in Puerperal Sepsis
- US
INVx in Puerperal Sepsis
- For Complications
Prevention of Puerperal Sepsis
Prevention of Puerperal Sepsis
- Good ANC
Prevention of Puerperal Sepsis
- Good Intra-natal care
Prevention of Puerperal Sepsis
- Good Postnatal Care