Puerperium

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puerperium

[‚pyü·ər′pir·ē·əm]
(medicine)
The state of a woman during labor or immediately after delivery.
The period from delivery to the time when the uterus returns to normal size, about 6 weeks.
McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The McGraw-Hill Companies, Inc.
The following article is from The Great Soviet Encyclopedia (1979). It might be outdated or ideologically biased.

Puerperium

 

the period that begins after the expulsion of the placenta and continues for six to eight weeks. During puerperium almost all the systems and organs that underwent changes during pregnancy and childbirth return to their normal state. The uterus, whose fundus is 15 cm above the pubis after childbirth, contracts and after ten to 12 days disappears behind the pubis. Its weight drops from 1,000 g to 50–60 g by the end of the eighth week. The internal opening of the cervix closes by the tenth day after childbirth; the external opening closes by the end of the third week.

As the uterus contracts, its mucous membrane gradually covers the interior surface of the uterus; complete restoration of the epithelial covering occurs by the end of the third postnatal week. Before completion of this process, the interior surface of the uterus consists of an extensive wound surface, which produces a characteristic discharge known as lochia. The discharge, which is initially bloody, becomes light in color and bloodless by the tenth day. During puerperium, the tonus of the vagina is restored, and abrasions and lacerations of the external genitalia, vagina, and cervix heal. Gradually the overstretched ligaments of the uterus contract, and the fallopian tubes and the ovaries assume their usual state. Lactation begins on the third or fourth day after childbirth.

The general condition of the puerpera is good: the pulse is regular and seldom retarded (physiological bradycardia), and arterial pressure is normal. The body temperature is usually normal; a slight elevation immediately after childbirth may occur. During puerperium, aseptic and antiseptic measures must be strictly implemented, because the wound surface of the uterus, the abrasions and lacerations of the soft tissues of the birth canal, and cracks in the nipples may serve as loci of penetration for infectious agents, which can cause puerperal fever. The external genitalia and the breasts should be cleansed daily during the puerperium.

From the second day after normal childbirth, healthy women are prescribed a set of exercises that tone up the body and promote more rapid contraction of the uterus. If the puerperal period proceeds without complications and the physiological development of the newborn is normal, the mother and infant are discharged from the maternity hospital on the sixth or seventh postnatal day. Women with elevated temperatures, upper respiratory infections, skin abscesses, and other symptoms of infection are hospitalized in a special department of the maternity hospital.

REFERENCE

Kogan, A. A. ‘Normal’nyi poslerodovoi period.” In Mnogotomnoe rukovodstvo po akusherstvu i ginekologii, vol. 2, book 2. Moscow, 1963.

A. P. KIRIUSHCHENKOV

The Great Soviet Encyclopedia, 3rd Edition (1970-1979). © 2010 The Gale Group, Inc. All rights reserved.
References in periodicals archive ?
(13) stated that "not letting the puerperal woman out of the house for 40 days" was the top practice regarding the albasmasi belief in their study.
The rate of problems in the immediate puerperal period was high both in mothers (n=52; 44.40%) and in neonates (n=92; 78.60%).
She and her colleagues conducted a 10-year retrospective review of refractory puerperal fever cases at Chaim Sheba Medical Center.
Table 2 summarizes the mean and standard deviation of leukocyte count during predelivery and on the 1st puerperal day, and P value of paired t-test.
In the past few years, there have been many articles that assume Streptococci G and C have a growing importance as clinically significant pathogens, but the association between SDSE colonization and puerperal endometritis has not yet been studied by other groups.
Finally, the results obtained for five puerperal users of crack were read, with the purpose of confirming the data found in the analysis, complementing them and validating them.
Most frequent obstetrical emergencies were Pre eclampsia 53(27.04%), Post partum Haemorrhage 48(24.48%), Ante partum haemorrhage 36(18.36%), Ruptured uterus 22(11.22%), Eclampsia 19(9.69%), Puerperal sepsis 12(6.12%), and operative morbidities were 6(3.06%).
Only 1 (2%) of the puerperas, who was between 26 and 28 years old, had knowledge with regard to PPE, while 9 (18%) puerperas had no knowledge about puerperal exercises (Fig.
According to the localization of puerperal hematoma, it can be classified as vulvar, vulvo-vaginal, and retroperitoneal hematomas.
This literature review examined whether the use of herbal galactagogues have a role in improving milk production in puerperal women experiencing insufficient milk supply (IMS).