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44Obstetrics22 min read

Postpartum problems

1. Big picture

The postpartum period, also called the puerperium, is the period after delivery during which the maternal body returns toward the non-pregnant state and adapts to breastfeeding, wound healing, contraception, and psychological changes. It is usually considered the first 6 weeks after birth, but some risks, especially thromboembolism and mental health problems, may extend beyond this period.

For the final exam, postpartum problems are best approached clinically:

Postpartum woman with a complaint
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First ask: bleeding, fever, pain, dyspnoea, headache, mood symptoms?
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Decide: haemorrhage / infection / thromboembolism / hypertensive emerge

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