Postpartum Changes in Birth Canal
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Questions and Answers

What happens to the vaginal rugae after the third week?

  • They remain unchanged in size and prominence.
  • They become more prominent than before.
  • They disappear completely.
  • They begin to reappear but are less prominent than before. (correct)

    • What happens to the hymen after delivery?

  • It is represented by several small tags of tissue, which scar to form the myrtiform caruncles. (correct)
  • It regains its nulliparous dimensions.
  • It disappears completely.
  • It becomes more elastic than before.

    • What causes the proliferation of vaginal epithelium by 4 to 6 weeks?

  • Prolactin production by the pituitary gland.
  • Resumed ovarian estrogen production. (correct)
  • Testosterone surge after delivery.
  • Increased progesterone levels.

    • What may result in vaginal outlet relaxation after delivery?

    <p>Lacerations or stretching of the perineum during delivery.</p> Signup and view all the answers

    What predisposes to urinary incontinence and pelvic organ prolapse after parturition?

    <p>Damage to the pelvic floor during delivery.</p> Signup and view all the answers

    What happens to the caliber of pelvic vessels after delivery?

    <p>Gradually diminishes to approximately that of the prepregnant state.</p> Signup and view all the answers

    What happens to larger blood vessels within the puerperal uterus after delivery?

    <p>They become obliterated by hyaline changes and are gradually resorbed.</p> Signup and view all the answers

    What may happen to the margin of the dilated cervix during labor?

    <p>It may be lacerated.</p> Signup and view all the answers

    "is condition is discussed in detail in which chapter?

    <p>&quot;e hypertrophy and remodeling of pelvic vessels</p> Signup and view all the answers

    What happens to the birth canal and vagina after delivery?

    <p>The vagina and its outlet gradually diminish in size.</p> Signup and view all the answers

    What happens to the pelvic vessels after delivery?

    <p>Their caliber gradually diminishes to approximately the prepregnant state.</p> Signup and view all the answers

    What happens to the larger blood vessels within the puerperal uterus after delivery?

    <p>They resorb gradually and are replaced by smaller vessels.</p> Signup and view all the answers

    What may result in vaginal outlet relaxation after delivery?

    <p>Lacerations or stretching of the perineum during delivery</p> Signup and view all the answers

    What represents the hymen after delivery?

    <p>Several small tags of tissue</p> Signup and view all the answers

    What happens to the margin of the dilated cervix during labor?

    <p>&quot;Lacerations&quot;</p> Signup and view all the answers

    What is the role of ovarian estrogen production in vaginal epithelium proliferation?

    <p>&quot;Ovarian estrogen production usually coincides with resumed vaginal epithelium proliferation.&quot;</p> Signup and view all the answers

    What happens to the myrtiform caruncles after delivery?

    <p>&quot;They scar from several tags of tissue.&quot;</p> Signup and view all the answers

    What may be inevitable as a result of parturition?

    <p>&quot;Damage to the pelvic floor.&quot;</p> Signup and view all the answers

    "What causes the massively increased uterine blood flow necessary to maintain pregnancy?"

    <p>&quot;Remodeling of pelvic vessels.&quot;</p> Signup and view all the answers

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