Which of the following sets of condition is attributed to normal physiology of puerperium?
Ans. is d, i.e. Retention of urine and constipationRef. Dutta Obs. 7/e, p 146General Physiological Changes in PuerperiumPulse* It increases for few hours after delivery and then settles down to normal.Temperature* In the first 24 hrs-temp should not be above 99degF* - On day 3, due to breast engorgement there may be slight rise of temperature.(Note: Rule out UTI if there is rise of temperature).Weight* Loss of 2 kg (5 Ib) occurs due to diuresis.Blood volume* Decreases after delivery and returns to pre-pregnant levels by the second week. QCardiac output* Rises after delivery to 60% above the pre-labour value, and returns to normal within one week.Fibrinogen levels and ESR* Remain high up to the second week of puerperium, ESR levels also remain high.Urinary tract* Retention of urine is common.* Patient should be encouraged to pass urine following delivery.GIT tract* Thirst increased* Constipation (due to intestinal paresis)
Tachycardia and weight gain
Retention of urine, constipation and weight gain
Constipation, tachycardia and retention of urine
Retention of urine and constipation
Abnormality of Puerperium