Presentation
Classification has been developed and the forms of presentation of acute, subacute and chronic SU have been studied on the basis of the following signs: duration, the thickening degree of horns and uterine body, microflora, tonus, the presence of lochia [agris.fao.org]
OBJECTIVE: To review the physiology of uteroplacental arterial development and normal postpartum involution, and to present the characteristic clinical and histopathologic features of subinvolution. [ncbi.nlm.nih.gov]
Review questions at the end of each chapter enable you to assess your understanding and review important information presented in the book. [books.google.com]
View and Download PowerPoint Presentations on UTERINE SUBINVOLUTION PPT. Find PowerPoint Presentations and Slides using the power of Uterine Fibroids. Uterine subinvolution is a slowing of the process of involution or shrinking of the uterus. a. [fibroiddiscussion.website]
Treatment includes ergonovine given by mouth for 2 or 3 days, and, if an infection is present, an antibiotic. The hemoglobin or hematocrit is also evaluated, and iron is given if necessary. A follow-up examination is performed 2 weeks later. [medical-dictionary.thefreedictionary.com]
Entire Body System
- Inflammation
Inflammations about the uterus must be treated in order that their unfavorable influence upon menstruation shall cease. [gluedideas.com]
View Article PubMed PubMed Central Google Scholar Cai B, Deitch EA, Ulloa L: Novel insights for systemic inflammation in sepsis and hemorrhage. [bmcpregnancychildbirth.biomedcentral.com]
Pelvic inflammations not infrequently arise and render the condition more obscure and the treatment more complicated. [homeoint.org]
急性の acute 慢性の chronic 広い範囲 in a wide range 狭い範囲 in a narrow range 炎症 inflammation 化膿 suppuration (purulence) 出血しています。 You're bleeding. 出血がひどくショックの状態です。 The bleeding is so bad, the patient is in a state to shock. [nagaoka-med.or.jp]
- Anemia
Other complications of uterine atony include: orthostatic hypotension, which is lightheadedness or dizziness due to low blood pressure anemia fatigue an increased risk of postpartum hemorrhage in a later pregnancy Anemia and fatigue after birth also increase [healthline.com]
Term ABO Incompatibility Management Direct Coombs Negative Definition Infant is not at risk for jaundice due to blood incompatibility infant is not at risk for hemolytic anemia [flashcardmachine.com]
1532 Aplastic Anemia 1539 Thalassemid 1546 Disseminated Intravascular Coagulation 1550 With an Immunologic Disorder 1556 WiskottAldrich Syndrome 1566 Juvenile Idiopathic Arthritis 1573 CHAFTER 46 1584 Pituitary Disorders 1596 Syndrome of Inappropriate [books.google.de]
Anemia often accompanies infection, delays the wound healing, and weaken the immune system.Administer iron supplement as indicated.To correct anemia. [nurseslabs.com]
- Fatigue
Signs and symptoms include prolonged lochial discharge irregular or excessive uterine bleeding pelvic pain or feelings of pelvic heaviness backache fatigue persistent malaise the uterus feels larger and softer than expected [allnurses.com]
Other complications of uterine atony include: orthostatic hypotension, which is lightheadedness or dizziness due to low blood pressure anemia fatigue an increased risk of postpartum hemorrhage in a later pregnancy Anemia and fatigue after birth also increase [healthline.com]
Fatigue related to hemorrhage will slow down the client’s resumption of normal activities, necessitating problem solving and dependence on others for a period of time.Explain short term implications of postpartum hemorrhage such as an interruption in [nurseslabs.com]
Senecio aureus Cooks Used as a warm infusion, it expedites parturition with great certainty in cases of uterine and nervous fatigue. Ellingwood Is not depended upon during labor. [healthy.net]
- Swelling
[…] retained placental fragments and infection Puerperal infection (test question) Endometritis Wound infection Urinary tract infection Mastitis Early: enlarged, tender lymph nodes tender "flush" with out swelling Acute: Enlarged tender axillary lymph nodes [quizlet.com]
Cont… SYMPTOMS PUERPERAL MASTITIS Tough, doughy texture Dull to severe pain Flu-like symptoms Abscess (rare) SYMPTOMS NON PUERPERAL MASTITIS Redness, swelling Diffused tenderness, pain Hot sports Abscess Nipple discharge. 50. [slideshare.net]
[…] compression of large veins from foon to iliofemoral Compression:injurs innermost layer of blood vessels BOTH Risk Factors venous stasis postpartum hypercoagulation Term Superficial Thrombophlebitis SVT ASSESSMENT DATA Definition Localized tenderness swelling [flashcardmachine.com]
[…] drainage.These indicates localized infection requiring immediate intervention to prevent systemic involvement.Check for other possible sources of infection such as urinary tract infection (urinary frequency/pain, cloudy and odoriferous urine), mastitis (swelling [nurseslabs.com]
Acetaminophen or NSAIDs can alleviate the symptoms of breast engorgement (eg, tenderness, swelling, fever) if it occurs. [emedicine.medscape.com]
- Weakness
The uterine palpatory tonus was weak keeping the level of pathogenic microflora. The number of lochia reduced. The tectorial epithelium of uterus was dystrophic, endometrial stroma was edematous. [agris.fao.org]
IGNATIA. — Hysterical ; frequent sighing ; gloomy, seems weighed down by imaginary grief and sorrow ; sensation of weakness and sinking in pit of stomach ; menstrual blood black, clotted and of putrid odor. [homeoint.org]
If you’re not producing enough oxytocin, the contractions may be weak and it can result in uterine subinvolution. Activity levels Excessive activity is thought to slow the healing process and put you at risk of uterine subinvolution. [baby-pedia.com]
Assess for numb fingers and toes, cold, chest pain, nausea, vomiting, muscle pain, and weakness. May cause decreased serum prolactin. IV administration is used for emergency dosage only. Administer at a rate of 0.2 mg over at least 1 minute. [rnpedia.com]
Cook The chief use made of it is as a nervine tonic in female weaknesses, and a mild yet reliable promoter of menstruation. [healthy.net]
Cardiovascular
- Hypotension
Provide intravascular crystalloid volume expander (LR or NS ) Prevent hypotension and shock. [dartmouth-hitchcock.org]
If bleeding continues, tachycardia and hypotension worsen. As a protective effect to maintain cardiac output, peripheral vasoconstriction occurs, leading to decreased tissue perfusion. [clinicaladvisor.com]
Monitor for the following side effects: dyspnea, palpitations, diaphoresis, chest pain, hypotension, and headache. [rnpedia.com]
In postpartum women, it is important to recognize that the signs or symptoms of considerable blood loss (eg, tachycardia and hypotension) often do not present or do not present until blood loss is substantial (9). [islidedocs.com]
Other complications of uterine atony include: orthostatic hypotension, which is lightheadedness or dizziness due to low blood pressure anemia fatigue an increased risk of postpartum hemorrhage in a later pregnancy Anemia and fatigue after birth also increase [healthline.com]
- Tachycardia
- Hypovolomia occurs with excessive blood loss - Uncontracted uterus - Large gush or slow, steady trickle of blood from vagina - Saturation of more than one peripad per 15 minutes - Severe, unrelieved perineal or rectal pain - Tachycardia Thrombus formation [quizlet.com]
Clinical picture 4 days after delivery there is fever, tachycardia, rigors and malaise. 1-2 days after delivery with more severe manifestations. [gfmer.ch]
In postpartum women, it is important to recognize that the signs or symptoms of considerable blood loss (eg, tachycardia and hypotension) often do not present or do not present until blood loss is substantial (9). [islidedocs.com]
When blood loss approaches 20% of volume, symptoms develop: tachycardia, tachypnea, narrowed pulse pressure and delayed capillary refill. If bleeding continues, tachycardia and hypotension worsen. [clinicaladvisor.com]
Physical On examination, a patient may have tachycardia, mild exophthalmos, and a painless goiter. [emedicine.medscape.com]
Psychiatrical
- Fear
[…] after delivery - Hallucinations (seeing things that aren't real or hearing voices) Delusions (paranoid and irrational beliefs) Extreme agitation and anxiety Suicidal thoughts or actions Confusion and disorientation -Tachycardia, shortness of breath -Fear [quizlet.com]
Urogenital
- Vaginal Bleeding
Signs and Symptoms. (1) Prolonged lochial flow. (2) Profuse vaginal bleeding. (3) Large, flabby uterus. c. Medical Treatment. (1) Administration of oxytocic medication to improve uterine muscle tone. [brooksidepress.org]
If vaginal bleeding continues following curettage for secondary postpartum haemorrhage, then consider the need for a pelvic trans-vaginal ultrasound scan. [rch.org.au]
On the 43rd day after delivery, she was readmitted with recurrent severe vaginal bleeding (Hb 86 g/L). [bmcpregnancychildbirth.biomedcentral.com]
- Pelvic Pain
Signs and symptoms include prolonged lochial discharge irregular or excessive uterine bleeding pelvic pain or feelings of pelvic heaviness backache fatigue persistent malaise the uterus feels larger and softer than expected [allnurses.com]
Its evidence-based, guideline-driven approach thoroughly covers normal and variant anatomy, pelvic pain, abnormal bleeding, infertility, first-trimester pregnancy complications, post-partum complications, characterization of the adnexal mass, gynecologic [books.google.it]
Risk For Pain : Defined as an increased risk of having an unpleasant sensory and emotional experience arising from potential tissue damage. [nurseslabs.com]
Thrombophlebitis Extension of infection to the pelvic veins leads to high fever, rapid pulse and deep seated pelvic pain. If extension progresses to the femoral vein, pain and tenderness extends to the leg which becomes swollen, oedematous and hot. [gfmer.ch]
- Enlarged Uterus
Inclusion term(s): Bulky or enlarged uterus N85.3 Subinvolution of uterus N85.4 Malposition of uterus Inclusion term(s): Anteversion of uterus Retroflexion of uterus Retroversion of uterus N85.5 Inversion of uterus N85.6 Intrauterine synechiae N85.7 [icd10coded.com]
Description Subinvolution is delayed return of the enlarged uterus to normal size and function. Etiology Subinvolution results from retained placental fragments and membranes, endometritis, or uterine fibroid tumor; treatment depends on the cause. [rnpedia.com]
The partially enlarged uterus was exposed and one side of the suture line was released. Imaging findings in Case 1. [ncbi.nlm.nih.gov]
[…] arteries during the third trimester is either delayed or inadequate, resulting in the persistence of low-resistance dilated vessels with increased flow.3 In SPS, the uterus is grossly enlarged. [casereports.bmj.com]
- Regular Uterine Contractions
Case report A 24-year-old nulliparous primigravida woman was referred to our department in 40 + 3 weeks’ gestation for delivery with history of regular uterine contractions and fetal breech presentation (cervix dilated to 6 cm, presenting part above the [bmcpregnancychildbirth.biomedcentral.com]
Workup
Differential diagnosis See the list below: Mastitis Breast abscess Cellulitis Workup No laboratory tests are required. [emedicine.medscape.com]
Microbiology
- Candida
Vaginal and cervical microbiological culture has showed disturbed vaginal flora with bacterial colonization of species: Escherichia coli, Corynebacterium species, Candida species, and Streptococcus agalactiae group B. [bmcpregnancychildbirth.biomedcentral.com]
MASTITIS DEFINITION- It is the inflammation of parenchyma of the mammary gland TYPES- PATHOGENS-staphylococcus, streptococcus, gram negative bacilli such as escherichia coli, salmonella, mycobacterium, candida, cryptococcus (rarely) PUERPERAL MASTITIS [slideshare.net]
[…] uterus 卵巣茎捻転 torsion of ovary tube 子宮内膜症 endospore of ovary 月経困難 menstrual disorders 月経過多 profuse menstruation 骨盤内の炎症 inflammationin the pelvis 腹膜 peritoneum 卵管 fallopian tube その他 other 膿瘍 abscess 卵巣の出血 bleeding in ovary 膣の炎症 vaginal inflammationin カンジダ candida [nagaoka-med.or.jp]
Escherichia coli sensitive to moxifloxacin was cultured from a vaginal secretion specimen, and Candida krusei was cultured from a urine specimen. [ncbi.nlm.nih.gov]
Other Pathologies
- Trophoblastic Cells
Prognosis : many bitches will recover without treatment; rarely, trophoblastic cells → uterine perforation and peritonitis. Pathogenesis Etiology Unknown. Predisposing factors General Age. [vetstream.com]
Moreover, at the end of the third trimester, the extravillous endovascular trophoblast (EVCT) for maternal endothelial cells in myometrial vessels located in the placental site is starting to be replaced. [bmcpregnancychildbirth.biomedcentral.com]
Treatment
As this treatment is apt to cause some pain for a few bours after 11S.e, it should be followed by rest dur ing the remainder of the day. [gluedideas.com]
Hysterectomy: Partial or complete removal of uterus Time for Treatment of Subinvolution of uterus While time-period of treatment for each patient may vary, below is the typical time-period for Subinvolution of uterus to resolve if treated properly under [tabletwise.net]
Other treatments include hormones and surgery. [icdlist.com]
Treatment : hysterectomy, value of common treatments is questionable. Prognosis : many bitches will recover without treatment; rarely, trophoblastic cells → uterine perforation and peritonitis. Pathogenesis Etiology Unknown. [vetstream.com]
After 4 days of treatment with moxifloxacin, the patient’s fever persisted. Thus, acetaminophen and teicoplanin were used to strengthen the anti-infection treatment until discharge. [ncbi.nlm.nih.gov]
Prognosis
Page: 1 2 3 4 Prognosis. — The prognosis without treatment is not good, for the disease runs a very chronic course and the uterus remains enlarged. [gluedideas.com]
Prognosis : many bitches will recover without treatment; rarely, trophoblastic cells → uterine perforation and peritonitis. Pathogenesis Etiology Unknown. Predisposing factors General Age. [vetstream.com]
PROGNOSIS. — The life of the patient is not directly endangered, but the chances of complete recovery are, in most cases, quite limited. [homeoint.org]
Prognosis and outcome A. Maternal/fetal outcomes PPH is still a leading cause of maternal morbidity in the United States. Institution of protocols for the treatment of postpartum hemorrhage can reduce mortality associated with hemorrhage. B. [clinicaladvisor.com]
Patients with postpartum psychosis are thought to have a better prognosis than those with nonpuerperal psychosis. Postpartum psychosis generally lasts only 2-3 months. [emedicine.medscape.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
The etiology of placental site subinvolution remains poorly characterized. [ncbi.nlm.nih.gov]
The most common etiologies (see Box 1) are broken into primary or sec-ondary causes. [islidedocs.com]
Results: We found an overall incidence of uterine subinvolution bed of 0.18 per thousand and all of them were enrolled as late postpartum hemorrhage, being the etiology of 6.12% of them. [medigraphic.com]
Pathogenesis Etiology Unknown. Predisposing factors General Age. Pathophysiology Delayed involution → prolonged blood loss from placentation sites; canine involution is very slow (90-140 days) therefore some cases may not be abnormal. [vetstream.com]
Epidemiology
An epidemiologic study in 2012 reported approximately 12% of vaginal births included an episiotomy. [27] Perineal tears are classified into four categories depending on the depth of tissue involvement. [emedicine.medscape.com]
Epidemiology of postpartum haemorrhage: a systematic review. Best Pract Res Clin Obstet Gynaecol 2008;22:999–1012. 10.1016/j.bpobgyn.2008.08.004 [PubMed] [CrossRef] [Google Scholar] 2. Khan KS, Wojdyla D, Say L, et al.. [ncbi.nlm.nih.gov]
University Hospital Martin, Kollarova 2, Martin, 036 01, Slovakia (3) Department of Obstetrics and Gynecology, Jessenius Faculty of Medicine, Comenius University, Kollarova 2, Martin, 036 01, Slovakia References Carroli G, Cuesta C, Abalos E, Gulmezoglu AM: Epidemiology [bmcpregnancychildbirth.biomedcentral.com]
Pathophysiology
DATA SOURCES: Literature review (MEDLINE via PubMed and Ovid) regarding the pathology and pathophysiology of placental site subinvolution. [ncbi.nlm.nih.gov]
DATA SOURCES Literature review (MEDLINE via PubMed and Ovid) regarding the pathology and pathophysiology of placental site… CONTINUE READING Highly Cited This paper has 37 citations. REVIEW CITATIONS From This Paper Topics from this paper. [semanticscholar.org]
We reviewed the literature with an emphasis on the pathophysiology of this situation. [casereports.bmj.com]
Pathophysiology Delayed involution → prolonged blood loss from placentation sites; canine involution is very slow (90-140 days) therefore some cases may not be abnormal. [vetstream.com]
Prevention
[…] of Subinvolution of uterus Yes, it may be possible to prevent Subinvolution of uterus. [tabletwise.net]
/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% Also called [medicbind.com]
/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% Health Topic [codelay.com]
Prevention of uterine subinvolution It’s not always possible to prevent subinvolution, but there are ways to reduce your risk. It’s important to listen to your body and not push yourself too hard when recovering from birth. [baby-pedia.com]
Sub-involution of uterus / Subinvolution of uterus (puerperal) / Subinvolution of uterus / Subinvolution uterine / Puerperal uterine subinvolution Drugs Drugs and Targets Drug Drug Name Drug Description DB00353 Methylergometrine An ergot alkaloid used to prevent [go.drugbank.com]