PUERPERIUM

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.

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.

ANATOMICAL AND PHYSIOLOGICAL CHANGES OF PUERPERIUM Involution of the uterus

Involution of lower uterine segment Involution of the cervix

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

LOCHIA Lochia Rubra Lochia Serosa Lochia Alba

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

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