Postpartum Recovery Overview

Infections or hematomas can impair the healing of tears or episiotomy.

Initially, the cervix can admit two fingers, but by the end of the second week, the internal os should be closed.

Cardiac output and stroke volume rise in the first 48 hours, presenting a high-risk period for mothers with cardiac disease.

<p>Diuresis occurs due to the elimination of excess fluid from pregnancy, and hydroureter disappears within six weeks.</p> Signup and view all the answers

<p>Clotting factors and platelets increase after delivery, but the fibrinolytic system inhibition reverses within 30 minutes.</p> Signup and view all the answers

<p>Rupture of elastic fibers, persistent striae, and separation of the rectus abdominal muscles from the midline may occur.</p> Signup and view all the answers

<p>Frequent checks are needed to ensure the fundus remains contracted; if it rises, it may indicate atony or pelvic swelling.</p> Signup and view all the answers

<p>Vigorous exercises are not recommended until at least 6-7 weeks postpartum.</p> Signup and view all the answers

<p>The mother should be encouraged to pass urine, and if retention occurs, catheterization is required under aseptic technique.</p> Signup and view all the answers

<p>Keeping the vulva and perineum clean and dry reduces the risk of infection and ensures proper healing post-delivery.</p> Signup and view all the answers

<p>The woman should be given a normal diet that contains adequate vitamins, proteins, and fluids to support recovery.</p> Signup and view all the answers

<p>To prevent constipation, increase fluid intake and consider using bulk-forming drugs like methylcellulose or laxative suppositories.</p> Signup and view all the answers

<p>Breastfeeding women should not use the combined oral contraceptive pill before 6 months, as it may inhibit lactation; progesterone-only contraception is preferred.</p> Signup and view all the answers

<p>Sterilization is usually delayed until 6-12 weeks postpartum to ensure the woman is certain about her decision and to allow fallopian tubes to return to normal size.</p> Signup and view all the answers

<p>Precautions include maintaining a sterile environment and practicing proper hygiene to prevent the implantation of exogenous organisms.</p> Signup and view all the answers

<p>Early mobilization is encouraged to improve pelvic floor tone and circulation in the legs, thereby reducing the incidence of venous thrombosis.</p> Signup and view all the answers

<p>Suckling induces a change in the hypothalamus's sensitivity to ovarian steroid feedback.</p> Signup and view all the answers

<p>Tone, tissues, trauma, thrombin.</p> Signup and view all the answers

<p>Primary occurs within the first 24 hours, while secondary occurs from 24 hours to 6 weeks post-delivery.</p> Signup and view all the answers

<p>Perineal discomfort is the major issue, affecting about 80% of mothers.</p> Signup and view all the answers

<p>A temperature of 38°C or more on two separate occasions 24 hours apart (excluding the first 24 hours).</p> Signup and view all the answers

<p>Mastitis, endometritis, wound infection, UTI, chest infection, and septic pelvic thrombophlebitis.</p> Signup and view all the answers

<p>Oxytocic agents help to stimulate uterine contractions and reduce uterine atony.</p> Signup and view all the answers

<p>Mastitis can develop from a blocked duct obstructing milk flow, which distends the alveoli.</p> Signup and view all the answers

<p>The drop in placental hormones, particularly estrogen, initiates the process of lactation.</p> Signup and view all the answers

<p>Oxytocin stimulates the contraction of myoepithelial cells around the milk-secreting glands, facilitating milk expulsion.</p> Signup and view all the answers

<p>Prolactin secretion is influenced by the strength, frequency, and duration of suckling stimuli.</p> Signup and view all the answers

<p>Breastfeeding provides natural nutrition, protects against infections, fosters mother-infant bonding, and may reduce disease incidence.</p> Signup and view all the answers

<p>Dopamine acts as a prolactin inhibitory factor from the hypothalamus, inhibiting prolactin secretion.</p> Signup and view all the answers

<p>The release of oxytocin is triggered by tactile stimulation of the areola during suckling and by sensory inputs like a baby's cry.</p> Signup and view all the answers

<p>Emotional stress can inhibit the milk ejection reflex by affecting oxytocin release.</p> Signup and view all the answers

<p>Prolactin stimulates the synthesis of milk proteins (casein, lactoglobulin, lacalbumin), lactose, and lipids.</p> Signup and view all the answers

<p>Colostrum contains high minerals, moderate proteins, and relatively low sugar content.</p> Signup and view all the answers

<p>Delayed initiation of breastfeeding can lead to breast engorgement, resulting in painful, swollen, and red breasts.</p> Signup and view all the answers

<p>Correct positioning and attachment of the baby to the breast are crucial to prevent sore and cracked nipples.</p> Signup and view all the answers

<p>Bromocriptine is a dopamine agonist that inhibits prolactin and suppresses lactation.</p> Signup and view all the answers

<p>Inadequate milk production can be caused by infant diseases, cleft lip/palate, or a retracted nipple in the mother.</p> Signup and view all the answers

<p>Fluid restriction and wearing a tight brassiere are effective methods for suppressing lactation.</p> Signup and view all the answers

<p>IgA in colostrum plays a crucial role in protecting newborns against infections.</p> Signup and view all the answers

<p>Treatment includes frequent feeding, manual milk expression, proper baby positioning, and using lanolin cream.</p> Signup and view all the answers