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Understanding the Puerperium Phase Post-Childbirth

Learn about puerperium, the period after childbirth when body tissues, especially pelvic organs, return to pre-pregnant state. Explore its duration, anatomical, physiological changes, and lactation physiology.

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Understanding the Puerperium Phase Post-Childbirth

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  1. PUERPERIUM

  2. 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.

  3. 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.

  4. ANATOMICAL AND PHYSIOLOGICAL CHANGES OF PUERPERIUM • Involution of the uterus

  5. Involution of lower uterine segment • Involution of the cervix

  6. INVOLUTION OF OTHER PELVIC STRUCTURE • Vagina • Broad ligaments and round ligaments • Pelvic floor and pelvic fascia

  7. LOCHIA • Lochia Rubra • Lochia Serosa • Lochia Alba

  8. 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

  9. PHYSIOLOGY OF LACTATION Physiological basis of lactation: • Momogenesis • Lacto genesis • Galactokinesis • Galactopoiesis

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