Changes in cardiovascular and hematologic system immediate after delivery
- PP blood loss
- Cardia output increased through 48 hours
- Stroke volume increase
- Extracellular fluid mobilized into maternal circulation
- Physiologic diuresis
Changes in Cardiovascular and hematologic system 24 - 48 hrs PP
- H&H decreased
- Increase blood volume
- Physiologic diuresis
- Impaired fibrinolysis normalizes
Left ventricular hypertrophy of pregnancy……slowly decreases
Changes in cardiovascular and hematologic system 1 week PP
- H & H decreased
- Increased blood volume
- Physiologic diuresis
- WBC levels normalize (6 days)
Left ventricular hypertrophy of pregnancy…slowly decreases
Changes in cardiovascular and hematologic system 2 wks PP
- Cardia output back to normal pre preg levels
- Plasma volume slowly returns to normal
Left ventricular hypertrophy of pregnancy…slowly decreases
Cardiovascular and hematologic system changes 4-6 weeks PP
- H&H return to normal
- Coagulation factors normalize
Left ventricular hypertrophy of pregnancy…slowly decreases
Cardiovascular and hematologic changes 6-12 weeks PP
- Cardiac output slowly returns to normal
- clotting cofactors (protein S) normalizes in 8 weeks
- Platelet function normalizes
Cardiovascular and hematologic changes 6 months PP
- L ventricular size returns to normal
Lochia immediately -4 days PP
Rubra
Lochia days 7-21 days PP
Serosa
Lochia 33 days PP
Alba
No Lochia at 6 weeks
Wound healing immediately PP
Hemostasis within 6 hrs PP
Wound healing 1 wk - 6 weeks PP
Granulation and proliferation
Wound healing 6-12 weeks PP
suture is absorbed
Endocrine Immediate PP
- Abrupt drop in hPL, hCG, estrogen and progesterone
- FSH and TSH low
- Prolactin and oxytocin increases
Endocrine changes 1-2 wks PP
Prolactin and oxytocin back to normal (7-14 days)
Endocrine 2 weeks PP
- Estrogen & progesterone back to normal levels
- TSH an FSH back to normal…..possible ovulation
Endocrine changes 4-6 weeks pp
FSH and TSH normal values in non-lactating women
