Abnormal Puerperium PDF
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Uploaded by RespectfulAlliteration
Badr University in Cairo
Dr. Ahmed Reda
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Summary
This document presents a medical overview of abnormal puerperium, focusing on postpartum complications such as hemorrhage, pyrexia, and breast engorgement. The presentation includes definitions, causes, and management strategies.
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Concerns - Puerperal Period Dr. Ahmed Reda Postpartum Hemorrhage Definition Excessive blood loss during or after the 3rd stage of labor (>500 ml) Types Early (primary) within the first 24 hours after delivery Late (secondary) >24 hours after delivery up to 6 weeks postpartum...
Concerns - Puerperal Period Dr. Ahmed Reda Postpartum Hemorrhage Definition Excessive blood loss during or after the 3rd stage of labor (>500 ml) Types Early (primary) within the first 24 hours after delivery Late (secondary) >24 hours after delivery up to 6 weeks postpartum Causes Uterine atony Most common Lower genital tract lacerations Retained products of conception (Placenta accreta) Uterine rupture Uterine inversion Hematoma Puerperal Pyrexia Definition ↑ temperature >38.7oC during the first 24 hours after delivery ↑ temperature >38oC on any 2 days up to 10 days after delivery Causes Benign fever resolution within 1st 24 hours Breast engorgement (most common cause) Puerperal sepsis (most dangerous cause) Urinary tract infection Deep Venous Thrombosis (DVT) Respiratory tract infection Breast engorgement Cause Milk production > infant consumption Common 3-5 days post partum Fever >38.5oC (usually last