14 - Normal and Abnormal Puerperium Liu Wei Department of...

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Normal and Abnormal Puerperium Liu Wei Ren Ji hospital
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Normal Puerperium Definition 1. The time from the delivery of the placenta through the first few weeks after the delivery. 2. 6 weeks in duration. 3. By 6 weeks after delivery, most of the changes of pregnancy, labor, and delivery have resolved and the body has reverted to the nonpregnant state.
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Normal Puerperium The relevant anatomy and physiology in the puerperium 1. Reproductive organs 1) Uterus 1000g → 50-100g The endometrial lining rapidly regenerates (16 days) The placental site undergoes a series of changes in the postpartum period
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Normal Puerperium 2) Cervix it never returns to the nulliparous state. the external os is closed to the extent that a finger could not be easily introduced. 3) Vagina shrinks to a nonpregnant state resolution of the increased vascularity and edema occurs by 3 weeks the vaginal epithelium appears atrophic on smear. This is restored by weeks 6-10.
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Normal Puerperium 4) Perineum swelling and engorgement are completely gone within 1-2 weeks the muscle tone may or may not return to
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This note was uploaded on 01/21/2012 for the course PDBIO 305 taught by Professor Woods,a during the Fall '08 term at BYU.

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14 - Normal and Abnormal Puerperium Liu Wei Department of...

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