Page 273 - كتاب تمريض نسا الاكتروني

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There is a tendency to retention of urine due to:

1. Atony of the bladder and abdominal wall.

2. Inability to micturate while recumbent

3. Reflex inhibition from stitched perineum.

4. Compression of the urethra by edema or hematoma.

 Urinary retention and over distention of the bladder may cause two

complications:

1. Urinary tract infection.
2. Postpartum hemorrhage. loss of sensation

 Bladder tone returns between 5 and 7 days.
 Mild proteinuria is common for 1 to 2 days after delivery in 50% of postpartum

women.

 The urine may also test positive for acetone / ketonuria resulting from

dehydration during a prolonged labor.

 Over distention of the bladder is common due to increase bladder capacity.

 A full bladder displaces the uterus and can cause postpartum hemorrhage.

 Dilated ureter and renal pelvis return to their non-pregnant state within 6-10

weeks after delivery.

7) Bowel function

 Gastrointestinal tone and motility decrease in the early

postpartum, commonly causing constipation.

• Constipation may be present due to:

1. Intestinal atony.

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