Clinical manifestations puerperium

1. Temperature, pulse, respiration, blood pressure after the majority of the temperature in the normal range. If extended to the middle-fatigue, body temperature can be in the first 24 hours after childbirth increased slightly, generally not more than 38 ℃. Not breastfeeding, postpartum 3-4 in the breast because of blood vessels, lymphatics can also be extremely filling fever, body temperature of 38.5 ℃, general only lasted a few hours, up to more than 12 hours, the temperature dropped, and this is not morbid. Postnatal slightly slow pulse, about 60-70 times per minute, and uterine and placental bed rest stop cycle, and other factors, about one week after returning to normal, and this is not morbid. Postpartum abdominal pressure decreased, the diaphragm dropped from the Xiongshihexi into pregnancy thoracoabdominal breathing, deep breathing slow, 14-16 times per minute. Blood pressure in the puerperium smooth, a little change. PIH in the post-natal maternal blood pressure decreased significantly. 2. Uterine involution placenta is delivered, while the hard uterine round, in Qixia Temple at the end of that one. Postpartum section on the 1st of mouth due to ischial cervical spine level, which increased slightly at the end of the Palais-umbilical, a day after declining 1-2 cm, on the 10th to postpartum uterine drop Rugu pelvic, abdominal inspection at the top of the pubic symphysis Palace less than palpable at the end. 3. Puerperal pain in the post-partum contractions early contractions caused by severe lower abdominal pain that paroxysmal postpartum uterine pain. In the uterine contraction pain with ankylosing spondylitis, in the emerging post-natal 1-2, 2-3, continued to disappear. The more common in women. Breastfeeding at the reflection of increased secretion of oxytocin to increase the pain. 4. Khan puerperal mattress early, skin excretion function brisk, from the large number of sweat, and Chujing to sleep at night when more obvious, and this is not sick in their own within one week postpartum improved. 5. Elu with postpartum uterine decidua (especially the placenta attached to the decidua) shedding, contain blood and necrosis decidua by organizations such as vaginal discharge, said Elu. Elu divided into: (1) congestive Elu: colored bright red, with blood named. Volume, sometimes a small blood clot, a small amount of fetal membranes and decidual tissue necrosis. (2) serous Elu: Color Yanhong, it is serous name. With a small amount of blood, but there are more decidual tissue necrosis, cervical mucus, vaginal fluid, and there are bacteria. (3) white Elu, viscosity, color than white name. A large number of leukocytes and necrosis decidual tissue, such as skin cells and bacteria. Elu have normal blood, but without the smell, sustained 4-6 weeks, a total of 250-500 ml, large individual differences. Bloody Elu about continuing on the 3rd, and gradually to serous Elu, about two weeks after Elu into white, about three weeks continued to clean. Changes in the uterine bleeding is the result of reduced gradually. If the uterine involution incomplete, or intrauterine residual placenta, fetal membranes, or a multitude merger infection, Elu volume increased, the duration of the extension bloody Elu and the smell.