REPRODUCTIVE SYSTEM

DISORDERS

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 REPRODUCTIVE TRACT DISPLACEMENT

• Occurs when the ligaments

become weak

• Retroflexion, anteflexion,
retroversion, anteversion or
uterine prolapse may occur
Assessment

• Cystocele
• Rectocele
 Nursing diagnosis

• Altered urinary elimination.

 Management

• Surgery

• Kegel exercises ( to strengthen the pelvic

musculature)
  
SEPARATION OF THE SYMPHYSIS
PUBIS

• Tearing of the ligaments of the symphysis pubis

NORMAL
 Assessment

• Acute pain upon turning or walking

• Waddling gait

• Swollen and tender to touch over the symphysis

pubis upon palpation
 Nursing diagnosis

• Pain related to tearing of the ligaments of the

symphysis pubis
 Management
• Bed rest
• Application of a snug pelvic binder
• Avoid heavy lifting for an extended period
• Consider cesarean birth for any future
pregnancy

***Usually takes 4-6 weeks healing

EMOTIONAL AND PSYCHOLOGICAL
COMPLICATIONS OF THE
PUERPERIUM

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A WOMAN WHOSE CHILD IS BORN WITH AN
ILLNESS OR IS PHYSICALLY CHALLENGED

• May have difficulty immediately after birth believing

her child is real

• May feel cheated when one requirement is not met

• Sometimes responds with a grief reaction, as if the

child had died
 Management

• Parents are shown their child moments after birth

• The physician or nurse-midwife usually makes it his or
her responsibility to tell the parents about the defect
• It is important for the parents to care for the child
during the postpartal period
• Should maintain open lines of communication between
the parents and the hospital staff
 A WOMAN WHOSE CHILD HAS DIED
• Clean the baby

• Wrap the baby in an infant blanket, and bring him or

her to the parents

• Remain with them, but give them time to handle and

inspect the child as they wish

• Be familiar with the forms the mother or father have

to sign when a baby dies or is born dead
• Know whether laws require stillborn infants to be
given a name and a funeral

• Do not place a woman whose child has died in a room

with a woman who has had a healthy baby

• Give her an opportunity to grieve

• Allow her family to visit freely

 POSTPARTAL
DEPRESSION

• Immediate feelings of sadness after childbirth

• Occurs as a response to the anticlimactic feeling
after birth and probably is related to hormonal
shifts
• May continue beyond the immediate postpartal
period and may even be present for longer than 1
year (post partum depression)
 Assessment
• Extreme fatigue

• Inability to stop crying

• Increased anxiety about her own or her infant’s health

• Insecurity

• Psychosomatic symptoms

• Either depressive or manic mood fluctuations

 Risk factors
• History of depression

• A troubled childhood

• Low self-esteem

• Stress at home or work

• Lack of effective support people.

• Differences between partners

 Management
• Pregnancy counseling

• Discovery of the problem as soon as

symptoms develop is a nursing priority

• Possible antidepressant therapy

 POSTPARTAL PSYCHOSIS
• Psychosis exists when a person
has lost contact with reality
• Appears exceptionally sad
• May deny that she has had a child
• May voice thoughts of infanticide
or that her infant is possessed
 Risk Factors
• Have had symptoms of mental illness before
pregnancy

• A death in the family

• Loss of a job or income

• Divorce

• Some other major life crisis

 Management
• Referral to a professional psychiatric counselor and
antipsychotic medication

• Not leaving the woman alone

• Not leaving the woman alone with her infant

 Nursing diagnoses
• Anxiety related to the outcome of pregnancy

• Caregiver Role Strain related to patterns of

ineffective coping

• Ineffective Coping related to disruption of emotional

bond secondary to death of child

• Disturbed Thought Processes related to emotional

trauma
A cademics.
T ouches heart.
E ducates mind.
A rticulates vision.
Models excellence.