Page 267 - كتاب تمريض نسا الاكتروني

265

 Factors that enhance involution include:

• Uncomplicated labor and birth.

• Breast-feeding.

• Early, frequent ambulation.

 Factors that slow uterine involution include:

• Prolonged labor.

• Incomplete separation and expulsion of placenta.

• Previous labors.

• Distended (full) bladder.

• Anesthesia.

2- Vaginal discharge from the uterus (Lochia):-

 The lochia is the vaginal discharge from the puerperal uterus during the

first part of the puerperium (3-4 weeks).

Stages: It progresses through three stages.

1. Lochia rubra (red color): is consisting mainly of blood , deciduas, fatty
epithelial cells, shreds of membrane and leukocyte, presents in the first 4

days.

2. Lochia serosa (pink or more brownish color): is due to relative

decrease in RBCs and predominance of leucocytes, presents between

5th and 10th day. lochia serosa has strong odor

3. lochia alba (whitish or yellowish color and is almost colorless): is

consisting mainly of leucocytes, cervical mucus, deciduas, bacteria and

should not has odor. Lochia alba occurs from days 10 to 14.

265