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7 Cards in this Set

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Uncomfortable uterine cramping that occurs during the early postpartum period as a result of periodic relaxation and vigorous contractions
afterpains
Failure of the uterine muscle to contract firmly. It is the most frequent cause of excessive postpartum bleeding.
atony
The self-destruction of excess hypertrophied uterine tissue as a result of the decrease in estrogen and progesterone level following birth.
autolysis
Terms used interchangeably with postpartum to refer to the period of recovery after childbirth that lasts approximately 6 wks, although time can vary from woman to woman
puerperium
or
4th trimester
lengthening and weakening of the fascial supports of pelvic structures which include the uterus, vagina, urethra, bladder and rectum
pelvic relaxation
Explain why bladder distention is more likely to occur during the immediate postpartum period (5)
1. trauma to urethra/bladder during birth
2. edematous urethra
3. increased bladder capacity & diuresis
4. diminished sensation of bladder fullness r/t use of anesthesia
5. pelvic soreness/lacerations/episiotomy
Problems that can occur if bladder becomes distended (2)
Bladder pushes uterus up and to side, inhibits uterine contraction leading to excessive bleeding
Distention can lead to stasis of urine, increasing risk for UTI