上海交通大学医学院：《妇产科学》（双语） 27 Topics toda

Topics today 口 Normal puerperium a Diseases of puerperium u Gestational trophoblastic diseases. gtD

Topics today ❑ Normal puerperium ❑ Diseases of puerperium ❑ Gestational trophoblastic diseases,GTD

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 at 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 return to the pelvis by about 2 be at normal size by 6 weeks the weight changes ofuterus 1000g immediately after birth 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: It has reformed within several hours of delivery it usually admits only one finger by I weeks the external os is fish-mouth-shaped 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 口 T is less than38°c 口 Involution of uterus 日 After-pins occuring at 1-2 days and maintant 2-3days

Clinical manifestaion of puerperium ❑ T is less than 38ºc ❑ Involution of uterus ❑ After-pains occuring at 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 a Maternal -infant bonding rooming in a Uterine complications postpartum hemorrhage, infection, the amount of lochia 口 Bowel movement 口 Urination 日 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 y 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