Pueperium and pnc Flashcards
Immediate pueperium
Early
Late
24 hrs after delivery
2-7th day
2nd week - 6th week
Uterine involution
Process by which the postpartum uterus about 1 kg returns to its prepregnant state of less than 100g
Location of palpable uterus after delivery, 2 weeks postpartum and 6 wks
Umbilicus
Pubis symphysis
Not palpable
Shape of external os after delivery
Slit or fish mouth shaped
Signs of uterine subinvolution
Prolonged lochia discharge
Irregular or excessive uterine bleeding
Larger and softer uterus
Lochia
Blood stained vaginal discharge
Types of lochia
Lochia rubra
Serosa
Alba
Persistent red lochia significance
Infection or retained placenta
Entire endometrium restored by
3 wks
Mean time of ovulation in BF mothers
Non-BF mothers
6 months
10 wks
Traditional 2 visits of PNC
7-10 days
6 weeks
Danger signs of pueperium
Fever Severe LAP Offensive or excessive lochia Excess bleeding Severe headache
Peuperal pyrexia
Rise in body temperature to at least 38*C on any 2 of the first 10 days postpartum exclusive of the first 24 hrs
Pueperal sepsis
Postpartum genital tract infections. A. K. A childbed fever or milk fever
Types of postpartum psychiatric disorders
Postpartum blues
Transient. Resolves by day 10
Postpartum depression
Postpartum psychosis