POSTPARTAL PERIOD / PUERPERIUM
POSTPARTAL PERIOD / PUERPERIUM
One. What is the postpartum period?
The postpartal period, also called the puerperium, is the first six weeks after childbirth. It is sometimes called the "fourth trimester" because even though pregnancy is already over, the mother is still undergoing major physical and psychological adjustments. Easy way to remember:
Pregnancy equals three trimesters. After birth equals fourth trimester, approximately six weeks.
During these six weeks, the mother's body is basically trying to return toward its pre-pregnancy state, while she is simultaneously adapting to being a mother. There are two major types of changes: A. Retrogressive changes equals going back
These are changes where structures that enlarged during pregnancy return toward their pre-pregnancy condition.
Uterus becomes smaller, involution.
Vagina gradually returns toward its previous size and tone.
Cervix closes.
Hormonal levels decrease. Think:
Retrogressive equals "returning backward" toward the pre-pregnant state.
B. Progressive changes equals moving forward
B. Progressive changes equals moving forward
These are changes that help the mother adapt to her new role.
Milk production and lactation.
Resumption of menstrual cycle.
Development of maternal behaviors.
Establishment of attachment and bonding.
Adjustment to parenting. Think:
Progressive equals "moving forward" into motherhood.