Page 264 - كتاب تمريض نسا الاكتروني
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               Introduction :


                   The  postpartum  period,  also  known  as  the  puerperium,  refers  to  the

                     time  after delivery when  maternal  physiological changes related to

                     pregnancy return to the  nonpregnant state.  In addition  to  physiologic

                     changes and medical issues that may arise during this period.
                   The nurses should  be aware of the  physical,  psychological needs  of the


                     postpartum mother and sensitive to cultural differences that surround childbirth.


                  Definition of Puerperium:

                   It is a period that begins upon delivery of the infant to the end of the six to eight

                     weeks after delivery during which the maternal body in general, and the genital

                     organs in particular return to the pre-pregnant condition.


                   Puerperium is divided into:
                     1. Immediate postpartum (first 24 hours).


                     2. Early postpartum (first week).
                     3. Late postpartum (from second week till end of six weeks).



               Characteristics of the Postpartum Period:


                   Involution: of the reproductive organs  or regressive changed.

                   Lactation: is initiated.

                   Recovery: from physiological effort & emotional symptoms"Recuperation".



               Physiological Changes during The Puerperium:


                    The major maternal physiological during puerperium:


               1. Changes in Reproductive Organs
               1)  Uterus:


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