Physiological Changes of Reproductive System

Subject: Midwifery III (Theory)

Overview

The physiological changes that occur during the puerperium are physical exhaustion with a sensation of enormous relaxation and a yearning for tranquility and sleep. Weight loss: During puerperium, there is a steady weight reduction that is virtually exclusively fluid loss. Approximately 2 kg of weight is lost in the first week following delivery. The beginning of menstruation and ovulation after delivery varies greatly from person to person and is influenced by nursing. Menstruation normally resumes between 6 and 12 weeks after delivery in non-lactating mothers, and ovulation can begin as early as 4 weeks.

The physiological changes that occur during the puerperium are as follows:

  • Muscle exhaustion is present, along with a sense of enormous relief and a longing for peace and sleep.
  • Pulse: The pulse rate is likely to be elevated for the first few hours, then normal or somewhat sluggish. This is a temporary occurrence, with the pulse returning to normal after 5-7 days.
  • Blood pressure is normal or slightly elevated after delivery due to enhanced venous return and may also be related to ergometrine effects. Within 24 hours, the blood pressure returns to normal.
  • Temperature: The temperature remains normal in the puerperium, though it may occasionally be slightly higher immediately after labor is over.
  • Weight loss: During puerperium, there is a steady weight reduction that is virtually exclusively fluid loss. Approximately 2 kg of weight is lost in the first week following delivery.
  • During and after labor, blood: Significant leucocytes appear. This is primarily composed of granulocytes, and there is relative lymphopenia. Hemoglobin and hematocrit values vary greatly.
  • Urine: The modifications are as follows:
    For the first 5 days, the flow of pee increases.
    This is one of the most terrifying puerperium phenomena.
    PIH, the dieresis may last for a longer period of time.
    In the first 48 hours, urea and creatinine exertion is high.
  • Lactosuria first emerges in the third decade of life.
  • Ovulation and menstruation: The beginning of menstruation and ovulation after delivery varies greatly from person to person and are influenced by nursing. Menstruation normally resumes between 6 and 12 weeks after delivery in non-lactating mothers, and ovulation can begin as early as 4 weeks.
Things to remember
  • The physiological changes that occur during the puerperium are physical exhaustion with a sensation of enormous relaxation and a yearning for tranquility and sleep.
  • Weight loss: During puerperium, there is a steady weight reduction that is virtually exclusively fluid loss. Approximately 2 kg of weight is lost in the first week following delivery.
  • During and after labor, blood: significant leucocytes appear. This is primarily composed of granulocytes, and there is relative lymphopenia.
  • Blood pressure is normal or slightly elevated after delivery due to enhanced venous return and may also be related to ergometrine effects. Within 24 hours, the blood pressure returns to normal.
  • The beginning of menstruation and ovulation after delivery varies greatly from person to person and is influenced by nursing.
  • Menstruation normally resumes between 6 and 12 weeks after delivery in non-lactating mothers, and ovulation can begin as early as 4 weeks.
Questions and Answers

Physiological changes of reproductive system

The changes occur during the puerperium are physiological, which are as follows:

  • There is muscular fatigue with a sensation of immense relief and a desire for calm and sleep.
  • Pulse: for the first few hours the pulse rate is likely to be raised, after which it may be normal or somewhat slow. This phenomenon is transient: the pulse attaining its normal rate in 5-7 days.
  • Blood pressure is normal or slightly rises after delivery due to an increased venous return and may also be due to the effects of ergometrine. The blood pressure returns to normal within 24 hours.
  • Temperature: the temperature remains to normal in the puerperium, although occasionally the temperature may be slightly elevated just after the completion of labour.
  • Loss of weight: during puerperium, there is a progressive weight loss, consisting almost entirely the loss of fluids. In the first week after delivery about 2 kg weight is lost.
  • Blood: marked leucocytes occurs during and after labour. This is made up predominantly of granulocytes and there is a relative lymphopenia. The hemoglobin and haematocrit levels vary considerably.
  • Urine: the changes are:
  • The output of urine increase for the first 5 days.this is one of the most strinking phenomena in the puerperium.
  • PIH, the dieresis may persist for a longer period.
  • Urea and creatinine exertion are high in the first 48 hours.
  • Lactosuria appears from the 3rd
  • Menstruation and ovulation:

The onset of menstruation and ovulation following delivery varies considerably from one individual to another and is influence by lactation. In non-lactating mother , menstruation usually returns between 6 and 12 weeks following delivery and ovulation may start as early as 4 weeks.

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