Subinvolution of the uterus refers to the delayed return of the uterus to its pre-pregnancy size and condition after childbirth.
Normal Involution
After delivery, the uterus gradually shrinks back to its non-pregnant size.
Typically takes about 6 weeks postpartum.
Subinvolution
This occurs when that process is slower than normal.
Causes
Retained placental fragments
Infection (endometritis)
Uterine atony (lack of muscle tone)
Fibroids or other uterine abnormalities
Signs and Symptoms
Prolonged lochia (postpartum vaginal discharge), especially if it's heavy or foul-smelling
Uterus larger and softer than expected on exam
Pelvic pain or tenderness
Possibly fever if infection is present
Diagnosis
Clinical exam (uterine size)
Ultrasound (to detect retained products)
Blood tests (if infection is suspected)
Treatment
Ergometrine or oxytocin to promote uterine contractions
Antibiotics if infection is present
Surgical removal of retained products if necessary.
#diagrame
@ao571okasha
· 7 months ago
