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Subinvolution: Ms. Mandeep Kaur Associate Professor Obstetrical & Gynecological Nursing

Subinvolution occurs when the pelvic organs do not return to their normal size after childbirth. Predisposing factors include grand multiparty, overdistension of the uterus, maternal ill health, and cesarean section. Retained products of conception is an aggravating factor. Symptoms include abnormal lochial discharge, irregular or excessive uterine bleeding, and irregular cramp-like pain. Signs include an enlarged fundal height and a boggy, softer uterus. Management involves antibiotics for infection, exploration for retained products, pessaries for prolapse or retroversion, and methylergometrine to enhance the involution process.

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Mandeep Kaur
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3K views12 pages

Subinvolution: Ms. Mandeep Kaur Associate Professor Obstetrical & Gynecological Nursing

Subinvolution occurs when the pelvic organs do not return to their normal size after childbirth. Predisposing factors include grand multiparty, overdistension of the uterus, maternal ill health, and cesarean section. Retained products of conception is an aggravating factor. Symptoms include abnormal lochial discharge, irregular or excessive uterine bleeding, and irregular cramp-like pain. Signs include an enlarged fundal height and a boggy, softer uterus. Management involves antibiotics for infection, exploration for retained products, pessaries for prolapse or retroversion, and methylergometrine to enhance the involution process.

Uploaded by

Mandeep Kaur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

SUBINVOLUTION

Ms. Mandeep Kaur


Associate Professor
Obstetrical & Gynecological Nursing
INVOLUTION

DEFINITION:
Involution is the process by which
the pelvic organs revert back
approximately to its pre-pregnant state.
It is a physiological process occurring
after parturition.
[Link]
SUB INVOLUTION
DEFINITION:
Sub involution is a medical condition in
which after childbirth, the pelvic
organs does not return to its normal size.
CAUSES
OF
SUBINVOLUTION
PREDISPOSING FACTORS

Grand multiparty Over distension of uterus

Maternal ill health Caesarean section


Prolapse of the uterus Uterine fibroid
AGGRAVATING
FACTORS

Retained products of conception


CLINICAL
FEATURES
SYMPTOMS
 May be asymptomatic sometimes

 Abnormal Lochial Discharge : Excessive or


prolonged

 Irregular at times Excessive Uterine


Bleeding

 Irregular Cramp like Pain (Retained bits)

 Rise of Temperature in case of Sepsis


SIGNS

Fundal
Displaced
height Uterus feels
Bladder or
Greater than Boggy and
Loaded
Postnatal Softer
Rectum
Day
MANAGEMENT

 Antibiotics in case of infection


 Exploration of uterus for retained
products
 Pessary in prolapse or
retroversion
 Methargin to enhance involution
process

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