NUR1 233 Lecture Notes - Erythrocyte Sedimentation Rate, Leukocytosis, Hemoglobin

• School: McGill University
• Department: Nursing
• Course: NUR1 233
• Professor: Sonia Elizabeth Semenic

Document Summary

Contractions: oxytocin: strengthens and coordinates contractions compress blood vessels and promote hemostasis, 1-2 hours postpartum: uterine contractions decrease in intensity and become uncoordinated. Afterpains: first time mothers: uterine tone good, fundus generally firm and mild uterine cramping, subsequent pregnancies: periodic relaxation and vigorous contractions more in large baby breastfeeding and oxytocin make it worse. Regeneration: completed by postpartum day 16 except at placental site. Regeneration at placental site: 6 weeks postpartum. Cervix up to lower uterine segment remains edematous, thin and fragile for days after birth. Ectocervix: protrudes into vagina appears bruised and small lacerations. Cervical os: dilated 10cm in labor closes gradually. External cervical os never regains prepregnant appearance not shaped like circle like a slit. Lactation delays production of cervical and other estrogen-influenced mucus and mucosal characteristics. Thinning of vaginal mucosa and absence of rugae. Returns to size by 6-10 weeks postpartum.