The Puerperium Flashcards
1
Q
What are the three stages of the involution of the uterus and how long does it take roughly?
A
6-8 weeks
Autolysis
Ischaemia
Contractions and retractions- Oxytocin and afterpains
2
Q
What does autolysis involve?
A
Proteolytic enzymes: breaks down intracellular proteins
Phagocytes: disposal of elastic/fibrous tissue
3
Q
What does ischaemia involve?
A
Decidua shed as lochia
Occurs as a result of collapsed blood vessels
4
Q
What is lochia?
A
It is a characteristic postnatal discharge that reflects the process of involution and the restoration of the endometrium.
Mean duration: 21-33 days might vary with multips and also with smaller babies
5
Q
What are the three stages of lochia?
A
Rubra- fresh blood from the placenta Red 3-4 days Serosa- Pink 5-9 days Alba- discharge Yellowish-white 10-28 days
6
Q
Midwifery application
A
6 week period following the birth Reproductive system Ovulation from 21 days following the birth Palpation of the fundus Lochia Other organs
