Physiology of the Puerperium Flashcards Preview

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Flashcards in Physiology of the Puerperium Deck (12):
1

What is the puerperium?

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

What is involution?

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

3

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

1cm per day

4

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

Just below the umbilicus

5

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

By day 10

6

How many weeks does the process of involution take?

About 6 weeks

7

What is lochia?

The shedding of the decidua

8

Describe the lochia for the first 3 days?

Rubra (red) - decidua and blood from placental site

9

Describe the lochia for days 4-10?

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

10

Describe the lochia for days 11-20?

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

11

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

Within 7 days

12

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

4-6 weeks