Nurse has to council a pregnant lady regarding puerperium. She has to suggest the patient, the normal duration of puerperium. Which one of the following is normal duration of puerperium ?

LohaHridoy
  1. 2 weeks
  2. 4 weeks
  3. 6 weeks
  4. 8 weeks

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AhmedNazir

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Option 3 : 6 weeks

CONCEPT:

  • Puerperium is duration from child birth to normal state like before pregnancy.
  • It is time taken by mother’s body to return back to its normal stage and undo this hormonal and physical changes that were build to sustain pregnancy.

Explanation

  • It is duration of about 6 weeks.
  • Most maternal and newborn deaths occur during this period.
  • It is most crucial part as mother and new born are going through various physiological and psychological stages.

Stages of puerperium

  • Subacute
  • Postpartum
  • Delayed postpartum period 

 

Discharge during Puerperium is known as

  • Lochia: It is the vaginal discharge for the first 2 to 3 weeks during puerperium. The discharge originates from the uterine body, cervix and vagina. It has fishy smell.

Types of lochia

Color

Postpartum Day

Composition

Lochia rubra

Red

1-3

Blood, fragments of decidua and mucus.

Lochia serosa

pink

3-10

Blood, mucus, and invading leukocytes

Lochia alba

white

10-14

Largely mucus, leukocyte count high.

Symptoms when lochia is infected ​(puerperal infection).

  • Fever
  • Foul-smelling vaginal discharge
  • Blood loss
  • Pale skin
  • Loss of appetite
  • Headache 
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