上海交通大学医学院：《妇产科学》（双语） 26 Topics today

Topics today 口 Normal puerperium a Diseases of puerperium 日 Ectopic pregnancy O Abortion Zhao Aimin MD PhD

Topics today ❑ Normal puerperium ❑ Diseases of puerperium ❑ Ectopic pregnancy ❑ Abortion Zhao Aimin MD.PhD

Normal puerperium (Postpartum care)

Normal puerperium (Postpartum care)

Puerperium a 6 weeks periods after birth a the reproductive tract return to its normal, non-pregnancy state the initial postpartum visit is scheduled ai 42th days

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

Physiology of the puerperium iNvolution of the uterus O return to the pelvis by about 2ks o be at normal size by 6 weeks a the weight changes ofuterus 1000g immediately after birth 口口口口口 500g 1 weeks after birth 300g 2 weeks after birth 50g 6 weeks after birth

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 ❑

口 Cervix u It has reformed within several hours of 口 delivery a it usually admits only one finger by I weeks a the external os is fish-mouth-Shaped o it return to its normal state at 4 weeks after birth

❑ 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

口 Ovarian function the time of ovulation is 3 months in non breast -feeding women a Cardiovascular system return to normal after 2-3 weeks

❑ Ovarian function the time of ovulation is 3 months in non￾breast -feeding women ❑ Cardiovascular system: return to normal after 2-3 weeks

Clinical manifestaion of puerperium T is less than 382 Involution ofuterus After-pains onsets 1-2 days and maintant 2-3days

Clinical manifestaion of puerperium T is less than 38? Involution of uterus After-pains onsets 1-2 days and maintant 2-3days

日 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

❑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

Management of the puerperium u Maternal-infant bonding rooni ing o Uterine complications u postpartum hemorrhage, infection, the amount of lochia 口 Bowel movement 口 Urination 口 Care of the perineum

Management of the puerperium ❑ Maternal -infant bonding rooming in ❑ Uterine complications ❑ postpartum hemorrhage, infection, the amount of lochia ❑ Bowel movement ❑ Urination ❑ Care of the perineum

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

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