Postpartum Adaptations and Complications

These flashcards cover key concepts related to postpartum adaptations and complications, including definitions, processes, and important clinical considerations.

What does the puerperium refer to?

The first 6 weeks postpartum where pregnancy-associated changes are reversed and new changes initiate.

What are the three processes involved in the involution of the uterus?

1. Contraction of muscle fibers 2. Catabolism 3. Regeneration of uterine epithelium.

What are the three stages of lochia post-delivery?

1. Lochia rubra (first 3 days), 2. Lochia serosa (starts day 4), 3. Lochia alba (by day 11 to 6 weeks).

What symptoms indicate afterpains in postpartum women?

Uterine contractions occurring in the first few days postpartum, more acute for multips or with uterine overdistention.

What are the classifications for degrees of perineal lacerations?

1. First degree: superficial vaginal mucosa or perineal skin, 2. Second degree: involves vaginal mucosa, perineal skin, and deeper tissues, 3. Third degree: involves anal sphincter, 4. Fourth degree: extends into rectal mucosa.

What does postpartum hemorrhage refer to?

Cumulative blood loss ≥ 1,000 mL or blood loss with signs of hypovolemia within 24 hours following birth.

What common causes are associated with early postpartum hemorrhage?

Uterine atony, trauma, hematoma, and subinvolution.

What are the risk factors for postpartum infections post-delivery?

History of infections, cesarean birth, prolonged rupture of membranes, and poor hygiene.

What motivational factors impact maternal adaptation postpartum?

Age of mother, previous experience, maternal mood, and support systems.

What signs of infection should be reported postpartum?

Fever, localized redness or swelling, persistent abdominal tenderness, and foul odor of lochia.