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PUERPERIUM. DEFINITION. Puerperium is the period following child birth during which body tissues, especially the pelvic organs, revert approximately to the pre-pregnant state both anatomically and physiologically. DURATION. Last for approximately 6 week. It is divided into
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DEFINITION Puerperium is the period following child birth during which body tissues, especially the pelvic organs, revert approximately to the pre-pregnant state both anatomically and physiologically.
DURATION Last for approximately 6 week. It is divided into Immediate – the first 24 years. Early – up to 7 days. Remote – up to 6 weeks.
ANATOMICAL AND PHYSIOLOGICAL CHANGES OF PUERPERIUM • Involution of the uterus
Involution of lower uterine segment • Involution of the cervix
INVOLUTION OF OTHER PELVIC STRUCTURE • Vagina • Broad ligaments and round ligaments • Pelvic floor and pelvic fascia
LOCHIA • Lochia Rubra • Lochia Serosa • Lochia Alba
GENERAL PHYSIOLOGICAL CHANGES • Vital Signs • Changes in Renal System • Changes in Gastrointestinal System • Weight Loss • Fluid Loss • Changes in Abdominal Wall • Hematological Changes • Menstruation And Ovulation
PHYSIOLOGY OF LACTATION Physiological basis of lactation: • Momogenesis • Lacto genesis • Galactokinesis • Galactopoiesis