Flashcards in 16 - Obs - The Puerperium - Physiological changes + General postnatal care Deck (6):
Puerperium = The ? week period after deliv, body returns to ? state. Mostly ? care. Maternal morb and mort ass w preg is ? in this period. Many women ? to have probs after discharge, often go untrt/unrecognized.
Placenta separates, ?
contracts, ? occludes placental ?. Uterine size decr over ?wks, 10d uterus no longer palp ?. ? (after pains) for 4d. ? os closed by 3d. ?
may be bloody for 4wks, yellow/? after. Menstruation delayed by ?, but by ? wks if not.
Cardiac ? and ? vol decr to prepreg levels in 1wk. Loss of ? 6wks. BP back to normal ?
Physiological ? of preg decr over 3m, GFR ?.
U&E levels return to normal as normal ???. If no haemorrhage, ? and ? rise w haemoconcentration. WBC ?. Platelets and clotting factors ?, predisp to ???.
Hb and haematocrit
General PN care
Mother and baby not ?, ?
important. Early ?
encouraged. Counselling and help w ? req. Uterine involution and ?, BP, HR and perineal ? checked ?. Fluid ?
checks to prevent ? if epidural. Analgesics for ? pain – also helped w ? ? ?. ??? checked pre discharge, ?
prescribed if apprt, w laxatives.
pelvic floor exercises