Subinvolution - Abnormal Puerperium

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.