Involution of the uterus

and Lochia
Aria Jaya
FAA 112 026

Definition

Involution of uterus "process of return to the state before the pregnant uterus
after childbirth

Involution process begins as soon as the placenta comes out due to the
contraction of smooth muscles of the uterus.

Subinvolution is the failure of the uterus to return to the non-pregnant state.

The cause is most often due to retained placental fragments and infection.

Uterine involution process is as follows:

AUTOLYSIS

The process of self-destruction that occurs in the uterine muscle.

Proteolytic enzymes will shorten the muscle tissue and connective tissue
which has had loosened up to 10 times the length of the original and 5 times
the width of the original during pregnancy, so that the uterus will gradually gradually shrinking.

Oxytocin EFFECTS

uterine muscle contraction and retraction compresses the blood vessels and
therefore will reduce the blood supply to the uterus. This process is useful for
the reduction of the site or the site of implantation of the placenta and
reduce bleeding

uterine involution procces

Involution
Childbirth
Placenta
1 weeks
2 weeks
6 weeks
8 weeks

high of Fundus
Umbilicus
2 fingers below the
Umbilicus
Umbilicus mid-Symp
impalpable
smaller
Normal

weight
1000 gr
750 gr
500 gr
300 gr
50 gr
30 gr

Lochea is fluid secretions from the uterine cavity and vagina during
childbirth.

1) Lochia Rubra (cruenta): 1-2 days, blackish-red

Contains rest - the rest of the membranes, the cells of the decidua, vernix
caseosa, lanugo, and the rest of the mekoneum.

2) Lochia Sanguinolenta: days 3-4, peach-colored blood and mucus.

3) lochea Serous: 5-9 days postpartum, yellow, liquid does not bleed anymore

4) Lochia Alba: white liquid

Lochea expenditure showing a state

Abnormal

Prolonged bleeding

Lochiostasis: lochea not smooth discharge /

purulent lochea restrained: fluid out just as foul-smelling pus

and excessive pain