SUBINVOLUTION

Ms. Mandeep Kaur

Associate Professor
Obstetrical & Gynecological Nursing
 INVOLUTION

DEFINITION:
Involution is the process by which
the pelvic organs revert back
approximately to its pre-pregnant state.
It is a physiological process occurring
after parturition.
D.C.DUTTA
 SUB INVOLUTION
DEFINITION:
Sub involution is a medical condition in
which after childbirth, the pelvic
organs does not return to its normal size.
 CAUSES
OF
SUBINVOLUTION
 PREDISPOSING FACTORS

Grand multiparty Over distension of uterus

Maternal ill health Caesarean section

Prolapse of the uterus Uterine fibroid
AGGRAVATING
FACTORS

Retained products of conception

CLINICAL
FEATURES
 SYMPTOMS
 May be asymptomatic sometimes

 Abnormal Lochial Discharge : Excessive or

prolonged

 Irregular at times Excessive Uterine

Bleeding

 Irregular Cramp like Pain (Retained bits)

 Rise of Temperature in case of Sepsis

 SIGNS

Fundal
Displaced
height Uterus feels
Bladder or
Greater than Boggy and
Loaded
Postnatal Softer
Rectum
Day
 MANAGEMENT

 Antibiotics in case of infection

 Exploration of uterus for retained
products
 Pessary in prolapse or
retroversion
 Methargin to enhance involution
process