16 Questions
What happens to the remaining decidua after delivery?
It remains intact and becomes the new endometrium
What is the source of new endometrium during endometrial regeneration?
Proliferation of the basal layer adjacent to the myometrium
When does Sharman identify fully restored endometrium in biopsy specimens?
Within 16 days onward after delivery
What is characteristic of acute salpingitis according to Andrews (1951)?
Microscopic inflammatory changes seen in almost half of women between 5-15 days after delivery
What tends to happen to the uterus in primiparous women following delivery?
It remains tonically contracted
What is part of the normal reparative process according to the text?
Histological endometritis
What is the term for the vaginal discharge containing erythrocytes, shredded decidua, epithelial cells, and bacteria?
Lochia rubra
What causes the afterpains in multiparas to worsen when the infant suckles?
Oxytocin release
What term is used to describe the process of involution at the placental site?
Exfoliation
What does subinvolution of the uterus refer to?
Hindered uterine involution due to infection or retained placental fragments
What is the main cause of subinvolution of the uterus?
Retained placental fragments or infection
When does the lochia turn progressively pale in color?
$3$ to $4$ days after delivery
What medication is recommended for subinvolution of the uterus, but its efficacy is questionable?
Ergonovine (Ergotrate)
What is the term for the discharge containing leukocytes and reduced fluid content, assuming a white or yellow-white color?
$Lochia alba$
What is the average duration of lochial discharge in the puerperium?
$24$ to $36$ days
What does placental site involution consist of?
Both extension and downgrowth of endometrium from margins of the placental site and development of endometrial tissue from the glands and stroma deep in the decidua basalis
Explore the process of decidua regeneration and endometrial changes after delivery. Learn about the variations in thickness, appearance, and blood infiltration of the remaining decidua, as well as the differentiation into two layers post-delivery.
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