26 - Topics today Normal puerperium Diseases of puerperium...

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Topics today Topics today Normal puerperium Diseases of puerperium Ectopic pregnancy Abortion Zhao Aimin MD.PhD.
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Normal puerperium Normal puerperium (Postpartum care) (Postpartum care)
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Puerperium Puerperium 6 weeks periods after birth the reproductive tract return to its normal, non-pregnancy state the initial postpartum visit is scheduled at 42th days
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Physiology of the puerperium Physiology of the puerperium Involution of the uterus return to the pelvis by about 2 weeks be at normal size by 6 weeks the weight changes of uterus 1000g immediately after birth 500g 1 weeks after birth 300g 2 weeks after birth 50g 6 weeks after birth
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Cervix: It has reformed within several hours of delivery it usually admits only one finger by 1 weeks the external os is fish-mouth-shaped it return to its normal state at 4 weeks after birth
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Ovarian function the time of ovulation is 3 months in non- breast -feeding women Cardiovascular system: return to normal after 2-3 weeks
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Clinical manifestaion of puerperium T is less than 38? Involution of uterus After-pains onsets 1-2 days and maintant 2-3days
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lochia discharge comes from the placental site and maintants for 4-6 weeks Lochia rubra be red in color for the first 3-4 days Lochia serosa maintants for 2 weeks Lochia alba maintants for 2-3 weeks
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Management of the Management of the puerperium puerperium Maternal -infant bonding rooming in Uterine complications postpartum hemorrhage, infection, the amount of lochia Bowel movement Urination Care of the perineum
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Management of breast Breast-feeding the benefits of breast-feeding increase the conversation decrease the cost improve infant nutrition and protect against infection and allergic reaction uterus contraction
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Diseases of puerperium Puerperal infection Late puerperal hemorrhage Postpartum depression puerperal heat stroke
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Puerperal infection Puerperal infection Genital infected by pathogenic microorganism during labor and puerperal period The incidence is about 1%-7.2% It is one of the four kinds of causes which result in maternal mortality
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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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26 - Topics today Normal puerperium Diseases of puerperium...

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