妇产科学-Normal Puerperium.pptVIP

Normal puerperium  Main content Section Ⅰ: mother changes Section II: clinical manifestations Section Ⅲ: dealing with Section IV: care of the mother Puerperium is defined as the period of confinement during and just after birth, by popular use, however, the meaning usually includes the 6 subsequent weeks during which normal pregnancy involution occurs.  SectionⅠ: Mother changes during puerperium Reproductive Tract Changes Breast Changes Blood and Fluid Changes Digestive Changes Urinary Tract Changes Endocrine Changes Abdominal Changes Reproductive Tract Changes Uterus Vagina Vulva Pelvic floor Uterus involution of uterus Contracted myometrium of Uterine Body Endometrial Regeneration Uterine Vessels Cervix and Lower Uterine Segment Cervix Changes 　　 Breast Changes Milk is the main changes, including the formation of milk and lactic ejection. neurohumoral regulation of the breast milk factors affecting the secretion of milk the benefits of breast-feeding milk The role of sucking stimulation in milk secretion Suck stimulates pituitary to promote the release of PRL. Factors affecting milk secretion Suck is the key to maintain lactation. Constantly emptying breast is another important point to maintain lactation. Maternal nutrition Maternal sleep Maternal feelings Maternal health Milk Changes in circulation system and blood Blood volume increases by 15%～25% within 72hours AP. returns to the state of unpregnancy within 2 to 3 weeks AP. Hypercoagulable state returns to normal levels within 3 to 4 weeks AP. Blood changes RBC、HGB WBC PLT ESR (erythrocyte sedimentation rate) Digestive tract changes Thirst, tendency to liquid diet and semiliquid diet Reduction in secretion of hydrochloric acid Weakened gastrointestinal muscular tension and peristalsis during pregnancy Liability to constipation Urinary Tract Changes Excretion of much water retained in vivo during pregnancy by kidney Gestational expansion of rena