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Topic 9.1 Physiological, psychosocial and spiritual changes of postpartum…
Topic 9.1 Physiological, psychosocial and spiritual changes of postpartum mothers
3.There is movement of fluid outside the blood vessels that accumulate during pregnancy
3.2 (Blood constituents)
3.2.1 (Hematocrit) The first 72 hours after delivery There is a loss of more plasma than blood cells
3.2.2 (white blood cell) Pregnancy period, the number of white blood cells will With an average of about 12,000 / mm. The period 10-12 days after birth is approximately 20,000 - 25,000 / mm, but may be up to 30,000 / mm
3.2.3 (coagulation factors) During pregnancy, the concentration of the blood clotting components increased to 1,2,7,8,9,10, which helped to control the Blood loss in the placenta incision in the uterine cavity after the birth
3.3 (cardiac output) During the 1st and 2nd trimester of labor, the volume of blood released from the heart in 1 minute remains high, and immediately after birth is still high.After 2-3 minutes, the blood supply from the heart in 1 minute decreases by about 50 percent
3.4 Blood pressure and pulse
May be caused by blood loss And if systolic blood pressure increases by more than 30 mm Hg (Diastolic) increases more than 15 mm Hg
3.5Varicose veins
1.During pregnancy, mothers often experience black blood, varicose veins in the legs and around the anus
Changes in the respiratory system
ระยะเวลาหลังคลอดการทำงานของปอดเปลี่ยนแปลงอย่างรวดเร็ว ลดหน้าท้องและไดอะแฟรมปอดขยายตัวดีขึ้นหายใจง่ายขึ้น
(Acid – base status)
2.(Hyperventilation)
Changes in urinary system
5.1 Urethra and bladder
As the baby passes through the birth canal, it causes injury to the urethra and bladderThe bladder will swell
5.2(Renal function)
1.Hormonal changes during pregnancy cause the kidneys to increase
2.During pregnancy, the rate of Renal plasma flow and Glumerular filtration increases by 25 - 50% and in the first week after birth is still high within 12 hours. Urinate a lot
Changes in the digestive system
1.Women after childbirth often feel hungry and Very thirsty because of loss of water during labor and after birth
2.Defecation will be normal approximately 2-3 days after birth.
*7. Musculoskeletal system
1.The gestation period has changed the musculoskeletal system.
2.The postpartum period will be fully restored to approximately 6 - 8 weeks.
Nervous system
Nerve compression due to uterine enlargement, some may have back pain or numbness of the fingers
Skin system
When the pregnancy is over Melasma around the face will disappear, but the darker color of the breast milk, the middle line of the abdomen. And the cracks of the skin around the abdominal wall will not disappear but the color may fade
Temperature)
1.In the first 24 hours after birth Body temperature may rise to 38 degrees
2.But if it is over 24 hours, then the fever is higher than 38 degrees, the infection may occur