Page 272 - كتاب تمريض نسا الاكتروني

270

 Coagulation: During pregnancy, plasma fibrinogen necessary for coagulation

increased as a protection against postpartum hemorrhage. As a result, the

mother’s body has a great ability to form clots and thus prevent excessive

bleeding

 Blood values: The white blood cells count increasing 10.000/mm up to 20.000

or even 30.000/mm during postpartum. A moderate increase in the fibrinogen

and sedimentation rate occurs during the first postpartum period, and then

gradually gets back to normal values.

3) Respiratory function

 Returns to normal by approximately 6 to 8 weeks postpartum.

4) Musculoskeletal function

 Generalized fatigue and weakness is common.

 Decreased abdominal tone is common.

 Diastasis recti heals and resolves by the 4th to 6th week postpartum until

healing is complete, abdominal exercises are contraindicated.

5) Gastrointestinal tract

 Women are usually hungry& thirst after delivery.

 Constipation can occur.

 Hemorrhoids are common.

6) Renal & urinary system changes:

 Urine: Diuresis & diaphoresis occurs to excrete the water retained in

pregnancy within the first 24 hrs. after delivery.

270