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Chapter: Obstetric and Gynecological Nursing : Abnormal Puerperium

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Subinvolution - Abnormal Puerperium

Sub involution is incomplete return of the uterus to its pre pregnant size and shape.

Subinvolution

 

Sub involution is incomplete return of the uterus to its pre pregnant size and shape. With subinvolution, at a 4 or 6 week post portal risk, the uterus is still enlarged and soft and the woman still has a lochia discharge. Sub involution may result from.

 

·        A small retained placental fragment

 

·        A mild endometritis or

 

·        An accompanying problem such as a myoma that is interfering with complete contraction.

 

Treatment

 

·        Oral administration of methyl ergotamin 0.2mg Q 10 hours to improve uterine time and complete involution.

 

·        An oral antibiotic if the uterus is tender on palpation

 

N.B. Be certain that women know at discharge from a health care facility the normal process of involution and lochial discharge.

 

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