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]
Hematological
- Hemophilia A
[…] placental tissue Retained placenta Succenturiate placenta Placenta accreta Previous uterine surgery Incomplete placenta at delivery Abnormalities of coagulation Preeclampsia Abnormal bruising Inherited clotting factor deficiency Petechia (von Willebrand, hemophilia [islidedocs.com]
Entire Body System
- Pain
False pains of pregnancy are readily controlled, and for after pains it is nearly as valuable as Cimicifuga. Black haw promptly allays ovarian irritation. [healthy.net]
SYMPTOMS-Pain, feeling of heaviness, generalized malaise, transient rise of temperature, painful breast feeding. [slideshare.net]
Management Frontiers in Medicine Epidemics Zika Virus Ebola Virus View all topics Health Policy Epidemics Pain Management Ebola Virus Multimedia Multimedia Selected Multimedia View all multimedia Audio Clinical Practice Audio Interviews Interactive Medical [nejm.org]
- Sepsis
The predominant symptoms are: Abnormal lochial discharge either excessive or prolonged Irregular or at times excessive uterine bleeding Irregular cramp like pain is cases of retained products or rise of temperature in sepsis Signs [ edit ] The uterine [en.wikipedia.org]
Early isolation of cases of puerperal sepsis. Treatment of Puerperal Sepsis General treatment Isolation in a separate room or fever hospital. Diet: light diet rich in vitamins and minerals with plenty of fluids. [gfmer.ch]
Common Causes of Subinvolution of uterus The following are the most common causes of Subinvolution of uterus: uterine fibroids uterine prolapse caesarean section grand multiparity overdistension of uterus in twins uterine sepsis Risk Factors for Subinvolution [tabletwise.net]
INTRAPARTUM FACTORS • Sepsis during internal examination • Dehydration & keto-acidosis • Traumatic operative delivery • Hemorrhage • Placenta praevia 14. [slideshare.net]
[…] epidermidis, group B Streptococcus and/or Ureaplasma urealyticum ) that are usually found in the normal vaginal flora Pathophysiology : lochia retention → ideal breeding ground for infection → postpartum endometritis /postpartum endomyometritis → postpartum sepsis [amboss.com]
Respiratoric
- Respiratory Distress
Distress Syndrome 1250 Chronic Lung Disease 1265 Apnea 1271 a Cardiovascular Disorder 1280 Congenital Heart Disease 1291 Disorders With Increased Pulmonary Blood Flow 1300 Heart Failure 1313 Hyperlipidemia 1321 a Gastrointestinal Disorder 1327 Stool [books.google.de]
Additional important secondary sequelae from hemorrhage exist and include adult respiratory distress syndrome, shock, disseminated intravascular coagulation, acute renal failure, loss of fertility, and pituitary necrosis (Sheehan syndrome). [islidedocs.com]
Imaging: If a respiratory process is high on the differential, obtain a chest radiograph. Treatment Treatment of endometritis is with intravenous antibiotics. [emedicine.medscape.com]
Gastrointestinal
- Abdominal Pain
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]
Lower abdominal pain, tenderness and rigidity. Tender lateral vaginal fornices with marked pain on moving the cervix from side to side. Peritonitis Localised (pelvic) peritonitis: Fever, tachycardia and vomiting. [gfmer.ch]
陣痛 laparoscopy腹腔鏡検査 last menstrual period最終月経 late deceleration遅発一過性徐脈 leiomyosarcoma of the uterus子宮平滑筋肉腫 length of the fundus uteri子宮底長 lower abdominal pain下腹[部]痛 lower back pain腰痛 lumbago腰痛 luteinizing hormone (LH)黄体化ホルモン m maintenance chemotherapy [tokyo-med.ac.jp]
- Vomiting
Salpingo-ophritis Manifestations: Fever, rigors and vomiting. Lower abdominal pain, tenderness and rigidity. Tender lateral vaginal fornices with marked pain on moving the cervix from side to side. [gfmer.ch]
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]
Chamaelirium luteum King's It is considered useful by some for the relief of the vomiting of pregnancy. Ellingwood Is not used alone, but in combination with Mitchella and Cimicifuga produces a reliable compound. [healthy.net]
Often symptoms similar to those of pregnancy are present, such as nausea and vomiting, enlargement of the breasts, and darkening of the areolae about the nipple. [homeoint.org]
Other symptoms include nausea, vomiting, and bloating. Frequently, patients with enigmatic fever are asymptomatic except for chills. Physical Vital signs demonstrate fever greater than 38°C and resting tachycardia. [emedicine.medscape.com]
- Nausea
Monitor the following side effects: hemorrhage, fever, nausea, and cramps. [rnpedia.com]
Side effects: diarrhea, fever, chills, nausea, emesis, headache, flushing. Contraindications: asthma, active cardiac, hepatic or renal disease. Misoprostol (Cytotec) Dose: 400-1000 micrograms. [clinicaladvisor.com]
Often symptoms similar to those of pregnancy are present, such as nausea and vomiting, enlargement of the breasts, and darkening of the areolae about the nipple. [homeoint.org]
Other symptoms include nausea, vomiting, and bloating. Frequently, patients with enigmatic fever are asymptomatic except for chills. Physical Vital signs demonstrate fever greater than 38°C and resting tachycardia. [emedicine.medscape.com]
- Diarrhea
On the third day postoperatively, she developed a fever (40°C) associated with diffuse abdominal pain and diarrhea without fetid lochia. [ncbi.nlm.nih.gov]
This delay can be explained by decreased muscle tone in the intestines during labor and the immediate puerperium, prelabor diarrhea, lack of food, or dehydration. [intranet.tdmu.edu.ua]
Side effects: diarrhea, fever, chills, nausea, emesis, headache, flushing. Contraindications: asthma, active cardiac, hepatic or renal disease. Misoprostol (Cytotec) Dose: 400-1000 micrograms. [clinicaladvisor.com]
Cardiovascular
- Hypertension
This agent is contraindicated in the presence of hypertensive disease states because of the severe hypertension that may develop secondary to vasoconstriction induced by the agent. [aafp.org]
Do not give to patient with hypertension or symptomatic heart disease Misoprostol 600-1000micrograms per rectum or Misoprostol 600micrograms orally Both oral and rectal administration of misoprostol have been studied and shown to be effective in stabilizing [dartmouth-hitchcock.org]
Edema, hypertension, pregnancy-induced. IRR on the mixed type. Chronic pyelonephritis, without exacerbation. Placental insufficiency. Chronic hypoxia. Discoordinated labor. Rupture of the perineum 1 degree. [russianpatents.com]
Know that methylergonovine maleate is contraindicated in patients with hypertension and F2a analogues are contraindicated in those with asthma or bronchospasm. [americannursetoday.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]
Skin
- Eruptions
Skin eruption or jaundice (Cl. welchii infection). Tonsils. Breasts, chest and heart. Lower limbs for signs of thrombophlebitis. Abdominal examination: Loin tenderness Abdominal rigidity and tenderness. [gfmer.ch]
- Petechiae
Uterine ruptureRetained placental tissue Retained placenta Succenturiate placenta Placenta accreta Previous uterine surgery Incomplete placenta at delivery Abnormalities of coagulation Preeclampsia Abnormal bruising Inherited clotting factor deficiency Petechia [islidedocs.com]
Neurologic
- Headache
Twitter Instagram YouTube LinkedIn Search Home Specialties Topics Multimedia Current Issue Learning/CME Learning/CME CME Triglyceride Lowering with Pemafibrate to Reduce Cardiovascular Risk Case 36-2022: A 30-Year-Old Woman with Decreased Vision and Headache [nejm.org]
Monitor for the following side effects: dyspnea, palpitations, diaphoresis, chest pain, hypotension, and headache. [rnpedia.com]
[…] pregnancy and the postpartum period, as well as endothelial microlesions during labor and slowed blood flow in the ovarian veins Symptom s : localized pain in the lower abdomen ; (mostly on the right), possible fever ( septic ovarian vein thrombosis ), and headache [amboss.com]
The digestion becomes more or less impaired, nutrition suffers, obstinate neuralgia and headaches occur frequently, the nervous disturbances become more numerous, and only slight influences are required to excite marked exacerbations. [homeoint.org]
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]
- Cesarean Section
Results: Palpation revealed proper uterine involution in 80 and 25% of patients after vaginal delivery and cesarean section, respectively. It could not be performed in 2.5% after vaginal delivery compared to 50% after cesarean section. [karger.com]
She underwent uncomplicated cesarean section (operative technique sec. [bmcpregnancychildbirth.biomedcentral.com]
However, she was hospitalized again for an enlarged uterus and irregular menstruation more than 3 months after the cesarean section. [ncbi.nlm.nih.gov]
Six primigravida patients at their term gestation, who underwent emergency cesarean section, all except one under spinal anesthesia, received this type of suture. [scinapse.io]
Workup
Differential diagnosis See the list below: Mastitis Breast abscess Cellulitis Workup No laboratory tests are required. [emedicine.medscape.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]