Puerperium

Puerperium

Introduction

In the previous unit in this module we have acquired enough knowledge to make us manage pregnancy and conduct delivery successfully.

Now we shall discuss the care the woman requires within the first 6 weeks after delivery and how the body readjusts back to the period before pregnancy. We shall review contraception, so that she will get pregnant only when she desires.

Objectives

At the end of this lesson the learner will be able to

·              Assess process of involution of the uterus

·              Promote the wellbeing of women after delivery recognize when lochia discharge is becoming abnormal

·              Guide women in making informed choice on the method of family planning.

Main Content

Puerperium is defined as a period which commences after the expulsion of the placenta and lasts up to about 6 -8 weeks after delivery. It is characterized by the following physiological and psychological changes when the reproductive organs return to their pre-gravid state, lactation is initiated and established and recuperation from physical and emotional experiences of pregnancy and delivery.

The foundations of the relationship between the mother and infant are laid. She assumes responsibility for the care and nurturing of her infant. The process by which the generative organs returned to their pre-gravid state is known as “Involution”.