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- postpartum period 6-8 weeks
- time period following childbirth when the mother's uterus shrinks and the other functional and anatomic changes of pregnancy are resolved
How long is the puerperium?
Indications for a puerperium us?
- postpartum hemorrhage
- inflammatory complications
- ovarian vein thrombophlebitis
- C-section incision survey (hematomas/abscess)
- assess uterine involution for obese patients
Postpartum endometrial measurements:
puerperium uterus measurements
14-25 cm X 7-10cm X 7-14cm
How many ligaments support the uterus?
Is there a difference in regression size of uterus with breastfeeding and bottle-feeding mothers?
You see echogenic material and some fluid in the endometrium 1 week post delivery. What may you think?
- may appear complex mass / may have some blood flow
Postpartum hemorrhage would be defined as bloodloss > __________?
What is the most lethal puerperium complication?
- postpartum hemorrhage
- 35% of maternal deaths
Common causes of puerperium hemorrhage? (7)
- uterine atony
- vag/cx tears
- placenta previa
- placenta accreta
- uterine rupture
- hereditary blood clotting abnormalities
2 types of pp hemorrage?
- acute (first 24 hrs)
substance discharged from the vagina (cellular debris and mucus and blood) that gradually decreases in amount during the weeks following childbirth
Acute hemorrhage usually caused by:
Causes of delayed hemorrhage?
Define: uterine atony
Uterine atony is a loss of tone in the uterine musculature.
Subinvolution is a medical condition in which after childbirth, the uterus does not return to its normal size.
Define: puerperal infection
The term puerperal infection refers to a bacterial infection following childbirth.
- inflammation of the lining of the uterus (of the endometrium)
- caused by retained secudines or vag microorganisms
phlebitis in conjunction with the formation of a blood clot (thrombus)
_________% ovarian vein thrombophlebitis are __________ sided.
- (usually occurs 1st few days after delivery)
- CT & MRI exams of choice
Other postpartum complications: Uterine & Parauterine collections: HULA
Name common types of hematomas post C-section: (4)
- 1. incisional
- 2. rectus sheath
- 3. subfacial
- 4. bladder flap (potential space between uterus & bladder)
of or relating to or characterized by fever
Where is the MC site of uterine rupture?
previous C-section scar
When the puerperium endometrium is >________ you being to call it bulky.
vaginal birth after C-section
What is the fastest incision to get a baby out?
Define: encarcerated uterus
In a small percentage of cases, the growing uterus is 'snagged' on pelvic bone ( usually the sacrum). This condition is known as 'incarcerated uterus'.
Pursestring sutures aka?
Define: Lithotomy position
a position lying on your back with knees bent and thighs apart; assumed for vaginal or rectal examination
What would you like to do?
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