Page 283 - كتاب تمريض نسا الاكتروني

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2) Uterine subinvolution

 It is failure of the uterus to regain its normal non-pregnant size within 6-8 weeks

after labor.

Causes of subinvolution:

 Retained placental fragment

 Infection

 Retroversion resulting in congestion

 Over distension of the uterus during pregnancy as in twins and

hydramnios.

 Fibroids

 Non –suckling

 Bad general condition and anemia as in cases of antepartum and

postpartum haemorrhage.

Managements:

1. Prevent excessive blood loss, infection, and other complications.

2. Massage uterus, facilitate voiding, and report blood loss.

3. Monitor blood pressure and pulse rate.

4. Administer prescribed medications.

5. Be prepared for possible D&C.

6. Early ambulation postpartum.

7. Daily evaluation of fundal height to document involution.

3) Breast engorgement

 It is an accumulation of increased amount of blood and other body fluids as well

as milk in the breasts. This condition occurs in frequently about the 3rd day

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