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Postpartum Period - 🧠ANSWER ✔✔-Begins after the delivery of the
placenta and lasts for approximately 6 weeks
-Marked by physiologic and psychological changes
Involution of the Uterus - 🧠ANSWER ✔✔-Involution: refers to the changes
the reproductive organ, particularly the uterus undergo after childbirth to
return to their nonpregnant size and condition
-The location of the uterine fundus (top of the uterus) helps determine
whether involution is progressing normally
,Uterine Involution Chart - 🧠ANSWER ✔✔-Immediately following birth:
midway between symphysis pubis and umbilicus
-6 to 12 hours: even with the umbilicus
-24 hours: 1 cm below
-3 days: 3 cm below umbilicus
-6 days: 6 cm below umbilicus
-14 days: non palpable
Afterpains - 🧠ANSWER ✔✔-Intermittent contractions, a source of
discomfort for many women
-More acute for multiparas
,-Stronger during breastfeeding
-Self limiting and decrease after 48 hours
-Use analgesics and heating pad prn to control discomfort
Types of Lochia - 🧠ANSWER ✔✔-Rubra: deep, red mixture of mucus,
tissue, and blood, lasts 3-4 days after birth
-Serosa: pink to brown in color, lasts 3-10 days
-Alba: white to light brown, lasts 10-14+ days
Lochia - 🧠ANSWER ✔✔-Average last 3-6 weeks
-Good pericare
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, -As it progresses becomes paler and more serous
SEEK CARE:
-Foul odor: infection
-Resumption of bright red after it subsided: possible retained placenta
Measuring Lochia - 🧠ANSWER ✔✔-Scant: < 1 inch stain in 1 hour
-Light: 1-4 inch stain in 1 hour
-Moderate: 4-6 inch stain in 1 hour
-Heavy: saturated pad in 1 hour
-Excessive: saturated pad in 15 minutes
Factors That Facilitate Uterine Involution - 🧠ANSWER ✔✔1. Complete
expulsion of placenta