1. PUERPERIUM

2. DEFINITION
Puerperium is the period following child birth during which body tissues, especially the pelvic organs, revert approximately to the pre-pregnant state both anatomically and physiologically.

3. DURATION Last for approximately 6 week. It is divided into
Immediate – the first 24 years.
Early – up to 7 days.
Remote – up to 6 weeks.

4. ANATOMICAL AND PHYSIOLOGICAL CHANGES OF PUERPERIUM
Involution of the uterus

5. Involution of lower uterine segment
Involution of the cervix

6. INVOLUTION OF OTHER PELVIC STRUCTURE
Vagina
Broad ligaments and round ligaments
Pelvic floor and pelvic fascia

7. LOCHIA
Lochia Rubra
Lochia Serosa
Lochia Alba

8. GENERAL PHYSIOLOGICAL CHANGES
Vital Signs
Changes in Renal System
Changes in Gastrointestinal System
Weight Loss
Fluid Loss
Changes in Abdominal Wall
Hematological Changes
Menstruation And Ovulation

10. PHYSIOLOGY OF LACTATION
Physiological basis of lactation:
Momogenesis
Lacto genesis
Galactokinesis
Galactopoiesis