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Sub-Involution - Abnormal Puerperium

  Sub-Involution   This is defined as a delay of the uterus to return to their pre-gravid state, usually due to retained products of conception and infection.   Causes   ·                Anything interfering with proper contraction of the uterus e.g. full bladder and rectum and retained product.   ·                Local uterine infection   ·                Presence of uterine fibroid   ·                Grande multiparity   Signs And Symptoms ·                Bulky and soft uterus   ·                Lochia are profuse and reddish b...

Post Partum Hemorrhage

  Definition   Excessive bleeding from the genital tract of 500mls or more after the birth of the baby, or with less but deterioration in the patient’s condition.   Classification 1.             Primary Post Partum haemorrhage   2.             Secondary post Partum haemorrhage.   Primary Post Partum heamorrhage when it occurs within 24 hours after delivery.  There are two types of PPH 1.             Atonic Haemorrhage – Bleeding from the placenta sit e.   2.             Traumatic PPH – Bleeding from laceration of the gen ital tract.   3.             Blood dyscracia. (Developmental disorder of the blood)   Atonic Haemorrhage   Bleeding is due to inability of the uterin...