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Abdominal: soft,
flabby; striae or stretch marks; diastisis recti, separation of rectus
muscle, may improve PP r/t woman’s physical condition, gravidity, exercise
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Cardiovascular/blood
values: returns to prepreg. Within 2 wks; 40% inc in blood volume
eliminated through diuresis; 1st 48 hrs greatest risk for PP
hemorrhage; BP - baseline; Inc in
fibrinogen → ↑ risk of
thrombophlebitis; inc WBCs
25-30,000/mm3 - nonpathologic
leukocytosis; an ↑ of > 30% in 6 hrs indicate pathology
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GI: hunger &
thirst common; risk for constipation ↑ d/t ↓ peristatlsis, narcotics, dehydration &
↓ mobility; risk for hemorrhoids ↑ d/t pressure of pushing
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Urinary: inc bladder
capacity & ↓ bladder tone → ↓sensation & ↑
risk of urinary retention & UTI; PP diuresis 1st 12-24 hrs of 2,000 – 3,000 ml urine; 5 lb loss; full
bladder displaces uterus, usually R side; fluids lost through diaphoresis,
esp at night
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Endocirine: estrogen
& progesterone drop rapidly;
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Lactation: nipple stimulation
→ pitocin release → release of prolactin → milk
production & let-down reflex & release of milk by contractions
of alveoli of breast; colostrum - 1st milk, rich in protein
& immunoglobulins; engorgement occurs 2nd/3rd
day; usually 2-5 days; mature milk produced after 2 weeks
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Afterpains:
intermittent uterine contractions; > common in multigrav than primi
(“rubber band”), esp when
breastfeeding
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