Postpartum

Question 1

Define the postpartum period and how long is it?

Answer 1

From the time the placenta is expelled to the uterus being restored to its pre-pregnant state. Takes about 6-8 weeks

Question 2

What is normal endo measurements in a postpartum uterus?

Answer 2

5-13mm

Question 3

What is the normal sonographic appearance of a postpartum uterus?

Answer 3

Up to umbilicus with prominent vessels

Question 4

What are some postpartum abnormalities one may find on ultrasound?

Answer 4

-hemorrhage
-infection
-RPOC

Question 5

What is a strong sonographic indicator for retained products?

Answer 5

Echogenic mass

Question 6

What is the sonographic appearance of endometritis (more commonly occurs after c section)

Answer 6

-completely normal endo and uterus
-dilated uterine cavity filled with fluid
-gas in the endo
-fluid and gas in endo

Question 7

Name 3 causes for postpartum hemorrhage

Answer 7

-abnormal attachment of the placenta to the uterine wall (placenta accreta)
-cervical or vaginal lacerations
-retained products of conception
-prior myomectomy
-prior c-section
-maternal age >35
-uterine atony