Perpurium Flashcards
When does perpurium begins
Soon after placenta is expulsion of placenta extends till 6 weeks
It is the time body reverts back to the pre pregnant stage
Perpurim is divided into
Intermediate 24 hrs
Early 7 days
Late 6 weeks to 42 days
Immediately after delivery
Uterus level
At the umblicus
Wt 1000gms
Fundal heights decreseases by 1 cm per day
Uterus after 48 hrs
Myometrium involution starts
Uterus after 1 week
Rapid involution occurs
500gms
Uterus after 2 weeks
Uterus becomes pelvic organ
Uterus after 4 weeks
Clinically involution is complete
Uterus 6-8 weeks
Prepregnant stage
Sonographycally involution is complete
8 weeks
In perpurim myometrium
Number doesn’t decrease
Size decrease
External os reverts back to pre pregnant state
Never
Endometria regeneration states by
7 th days
Regeneration of endometrium takes place
7 th day start 10 th day complete
At the site of placenta 6 weeks time thiskuntado
For the first few hrs of delivering baby
Every 15 min bp monitoring is done
After pain is seen in ?an agareavates
D by
Infant suckles oxytocin releases and labour pain lava Sogandi
Labour pain decreases and become mild by 3 day
Lochia comprises of
Blood
Lecocytes
Decides
Exduates
Sequels of lochia
Lochia Rubra
Lochia Aeros’s >4 days
Lochia Alba>10 days
Average duration of Lochia discharge
24-36 days
Postpartum weight loss
5-6 kg
Subsequent wt loss 2-3due to post partum diuresis
Which nerve is affected in the vaginal delivery
Lateral cutaneous nerve of thigh
Meralgia par aesthetics
Lateral cutaneous nerve
Burning sensation
Numbness
Tingling over upper outer thigh, lateral hip pain
No motor deficit
Complaints of weakness of quadriceps muscle
A paring adductors and sensory loss over anterior and medial thigh
Femoral nerve
Complaints of food drop
Perineal nerve
Perpural fever is defined as
Temperature >38 degrees
Recorded 24 hrs apart with in 10 days
Excluding 24 hrs
