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Post partum > Postpartum changes > Flashcards

Postpartum changes Flashcards

1
Q

Changes in cardiovascular and hematologic system immediate after delivery

A
  1. PP blood loss
  2. Cardia output increased through 48 hours
  3. Stroke volume increase
  4. Extracellular fluid mobilized into maternal circulation
  5. Physiologic diuresis
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2
Q

Changes in Cardiovascular and hematologic system 24 - 48 hrs PP

A
  1. H&H decreased
  2. Increase blood volume
  3. Physiologic diuresis
  4. Impaired fibrinolysis normalizes

Left ventricular hypertrophy of pregnancy……slowly decreases

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3
Q

Changes in cardiovascular and hematologic system 1 week PP

A
  1. H & H decreased
  2. Increased blood volume
  3. Physiologic diuresis
  4. WBC levels normalize (6 days)

Left ventricular hypertrophy of pregnancy…slowly decreases

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4
Q

Changes in cardiovascular and hematologic system 2 wks PP

A
  1. Cardia output back to normal pre preg levels
  2. Plasma volume slowly returns to normal

Left ventricular hypertrophy of pregnancy…slowly decreases

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5
Q

Cardiovascular and hematologic system changes 4-6 weeks PP

A
  1. H&H return to normal
  2. Coagulation factors normalize

Left ventricular hypertrophy of pregnancy…slowly decreases

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6
Q

Cardiovascular and hematologic changes 6-12 weeks PP

A
  1. Cardiac output slowly returns to normal
  2. clotting cofactors (protein S) normalizes in 8 weeks
  3. Platelet function normalizes
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7
Q

Cardiovascular and hematologic changes 6 months PP

A
  1. L ventricular size returns to normal
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8
Q

Lochia immediately -4 days PP

A

Rubra

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9
Q

Lochia days 7-21 days PP

A

Serosa

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10
Q

Lochia 33 days PP

A

Alba

No Lochia at 6 weeks

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11
Q

Wound healing immediately PP

A

Hemostasis within 6 hrs PP

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12
Q

Wound healing 1 wk - 6 weeks PP

A

Granulation and proliferation

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13
Q

Wound healing 6-12 weeks PP

A

suture is absorbed

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14
Q

Endocrine Immediate PP

A
  1. Abrupt drop in hPL, hCG, estrogen and progesterone
  2. FSH and TSH low
  3. Prolactin and oxytocin increases
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15
Q

Endocrine changes 1-2 wks PP

A

Prolactin and oxytocin back to normal (7-14 days)

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16
Q

Endocrine 2 weeks PP

A
  1. Estrogen & progesterone back to normal levels
  2. TSH an FSH back to normal…..possible ovulation
17
Q

Endocrine changes 4-6 weeks pp

A

FSH and TSH normal values in non-lactating women

Post partum (1 decks)

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