Physiology of the Puerperium Flashcards Preview

Midwifery > Physiology of the Puerperium > Flashcards

Flashcards in Physiology of the Puerperium Deck (12)
Loading flashcards...
1
Q

What is the puerperium?

A

The time immediately following childbirth which lasts approximately 42 days during which anatomical and physiological changes brought about by childbirth resolve and a woman adjusts to the new or expanding roles of motherhood and non pregnant life

2
Q

What is involution?

A

The process of the uterus decreasing in size until it reaches its pre-pregnancy state

3
Q

What is the rate of involution of the uterus in cm following the first 12 hours?

A

1cm per day

4
Q

How low is the fundus of the uterus immediately after childbirth?

A

Just below the umbilicus

5
Q

By what day following childbirth should the fundus no longer be palpable?

A

By day 10

6
Q

How many weeks does the process of involution take?

A

About 6 weeks

7
Q

What is lochia?

A

The shedding of the decidua

8
Q

Describe the lochia for the first 3 days?

A

Rubra (red) - decidua and blood from placental site

9
Q

Describe the lochia for days 4-10?

A

Serosa (pink/brown) - contains leukocytes and some cervical mucus and micro organisms

10
Q

Describe the lochia for days 11-20?

A

Albo (yellow/white) - mostly serous fluid and leukocytes

11
Q

How many days does it take oestrogen & progesterone levels to return to pre-pregnancy levels?

A

Within 7 days

12
Q

How many weeks does it take for haemaglobin levels to return to pre-pregnancy levels?

A

4-6 weeks