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Unit 2 Lesson 4

Normal Postmartum

PUERPERIUM 4th trimester-lasts 6-8 weeks mother and family adjustment
INVOLUTION Return of organs to original size location, and function
PROGRESSIVE Initiation of Lactation Menstral Cycle Mother/Infant Relationship
UTERINE INVOLUTION Oxytocin= Contraction=Bleeding Assessed by Fundal Height
ENDOMETRIUM Placenta/Membrane Separation from Wall Lochia =Uterine Lining Cast Off. New Lining in 2-3 weeks Placental Site Heals by exfoliation 6-7 weeks
LOCHIA RUBRA 1-3 days bright red blood
LOCHIA SEROSA 3-10 days pale pinkish brown
LOCHIA ALBA 10th-14th day white
CERVIX Collapsed w/ little tone. Firmer in 24 hrs Involuted by week 6
VAGINA Stretched Lacerations Involuted by weeks 6-8 Dyspareunia bc of dryness
Created by: samarianm