The Puerperium

The Puerperium

Physiology • The puerperium is the 6 weeks after delivery when the reproductive tract returns to its non-pregnant state. • Immediately after delivery, the uterus shrinks down to the level of the umbilicus. By 2 weeks postpartum, it is no longer palpable above...
Cesarean Section Delivery

Cesarean Section Delivery

Definition Delivery of a fetus via the abdominal route (laparotomy) requiring an incision into the uterus (hysterotomy). Cesarean is needed or not? Absolute Indications for Cesarean section delivery Maternal • Failed induction of labor • Failure to progress (labor...
Normal Delivery

Normal Delivery

Definition Labor is the physiologic process by which a fetus is expelled from the uterus to the outside world. It is a clinical diagnosis requiring two elements: (1) regular phasic uterine contractions increasing in frequency and intensity, and (2) progressive...
Baby Presentations

Baby Presentations

Face Presentation Definition: It is a cephalic presentation in which the head is completely extended. Incidence: About 1:300 labours. Aetiology : (A) Primary face: -It is less common. – occurs during pregnancy. -It is usually due to foetal causes which may be:...
Pre & Post Term Pregnancy Care

Pre & Post Term Pregnancy Care

Preterm Labour Definition It is the onset of labour before completed 37 weeks of pregnancy. Incidence: 5-10%. Aetiology (I) Maternal causes: 1. Medical disorders: – Preeclampsia. – Chronic nephritis. – Anaemia and malnutrition. 2. Antepartum...
Disorders of Fetal Growth

Disorders of Fetal Growth

Definitions • Low birth weight (LBW) refers to infants with an absolute birth weight <2500 g regardless of gestational age. • Small-for-gestational-age (SGA) fetuses are <10th percentile for gestational age. Fetuses >90th percentile are termed “large for...