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?
ovarian vein thrombophlebitis
C-section incision survey (hematomas/abscess)
assess uterine involution for obese patients
Postpartum endometrial measurements:
10 days past 3-6
puerperium uterus measurements
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?
35% of maternal deaths
Common causes of puerperium hemorrhage? (7)
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)
2. rectus sheath
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