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The puerperium (Anatomical
changes (Cervix
Becomes firm by 3d
Internal…
The puerperium
Anatomical
changes
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Breasts
Swollen, red and tender as they engorge in the first few days
Produce colostrum for 3d then milk
Uterus
Undergoes involution
Pelvic organ by 10-12d (can't be palpated)
Contraction can cause afterpains
Lochia
Passage PV of endometrial slough
Red for first few days (lochia rubra, blood and tissue), then yellow (lochia serosa) until 10d, then white (lochia alba) until 6w
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Hormonal changes
Prolactin
Promotes milk production
Secretion continues after current feed to prepare for the next feed
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Oxytocin
Secretion from pituitary initiated by suckling,
causing contraction of epithelial cells and
release of milk from the alveoli (let down reflex)
Contracts uterus to prevent bleeding
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Definition
The period from delivery
to 6 weeks post delivery, where several
anatomical, physiological and
hormonal changes occur