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    Add as FriendPostpartum Complications IN caiile

    by: MC

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    1 : November 11, 2013 1 Postpartum Complications M.C.RAGUPATHI BVN06038
    2 : November 11, 2013 2 Postpartum period (Puerperium) AI Birth AI Birth Pregnancy Postpartum period Pregnancy 12 m
    3 : November 11, 2013 3 Changes occur during the Puerperium Return of normal ovarian activity (3-4 weeks) 2. Shrinkage of the uterus (25-35 d) 3. Regeneration of the endometrium (50-60 d) 4. Elimination of bacterial contamination (4-5 weeks)
    4 : November 11, 2013 4 Most important postpartum complications 1. Perineal rupture 2. Retained placenta 3. Uterine prolapse 4. Uterine and vaginal rupture 5. Postparturient paraplegia 6. Postparturient uterine atony 7. Postparturient straining 8. Bacterial puerperal diseases 9. Puerperal intoxication 10. Puerperal infection 11. Septic metritis 12. Puerperal tetani 13. Puerperal vaginitis and vulvaitis
    5 : November 11, 2013 5 Perineal Rupture Causes: 1. Spontaneous, during the second stage of labor (vigorous straining) 2. Extreme traction of an oversized foetus 3. Predisposition include a hypoplastic vulva 4. Mares with Caslick operation
    6 : November 11, 2013 6 Symptoms: 1. In cow, the tearing begins at the dorsal commissure, as the head of the fetus approaches the vulvar cleft, and extended dorsally and cranial. 2. In mare, the initial injury in perforation of the vaginal roof by the fetal forelimb, the limb then perforate the rectum to tear the anal sphincter. 3. Such lesion destroy the sphincter effect of the vulva, lead to aspiration of air into the vagina. 4. laceration may extend and destroy the anal sphincter, thus creating a cloaca through which faces fall into the terminal vagina. Complication: Pneumovagina Bacterial contamination of the genital tract. Infertility
    7 : November 11, 2013 7 Surgical correction: 1. The patient is confined in stanchion in the standing position 2. Cleaning the perineal region 3. Light epidural anesthesia 4. The tail is tied to one side 5. Tampon placed in the rectum 6. Exposure the operative area by placing tension suture in the perineal skin 7. The free edge of the shelf is incised to a depth of 3 cm and extended laterally and caudally on each side 8. Synthetic non-absorbable suture and a No. 2 or 3 half circle cutting edge needle are used in the modified vertical suture pattern after the method of Goetze, starting at the deepest part. 9. The two ends of each suture are left long (8 cm) and are tied together at their ends to aid in identification of each knot during removal. 10. The suture must not penetrate the rectal mucosa. 11. The perineal skin is closed with vertical mattress suture.
    8 : November 11, 2013 8 Retained Placenta Definition: In cattle the fetal membrane are expelled within 12h after parturition. Retention of the placenta for longer period must be considered pathological.
    9 : November 11, 2013 9 The Loosing Process in Placentomes: 1. In the last month of pregnancy: The connective tissue of the placentomes become progressively collagenized up to the time of birth. The maternal epith. Of the crypts become flattened. Many phagocytic cells are manifested. 2. With the onset of parturition and following hormonally induced imbibition, the tissue of the placentome become loose. 3. During uterine contraction, the attachment of the villi in the crypts becomes impaired. 4. During fetal expulsion, caruncles are pressed against the fetus 5. After fetal expulsion and rupture of the umbilical cord no blood is pumped in the fetal villi and they shrink in size due to a reduced blood supply, and the maternal crypts dilate. 6.The postpartum uterine contraction complete the process of detachment of the membrane.
    10 : November 11, 2013 10 Etiology: It is basically due to failure of the villi of the fetal cotyledon to detach themselves from the maternal crypts of the caruncle. Basic Causes 1. Immature Placentomes. 2. In non-infectious abortion and premature birth. 3. Edema of the chorionic villi. 4. Following cesarean section and uterine torsion. 5. Necrotic areas between chorionic villi and the cryptal wall 6. In allergic cases. 7. Advanced involution of the placentomes. 8. Hyperemia of the placentomes. 9. Placentitis and cotyledonitis.
    11 : November 11, 2013 11 Direct causes 1. Infection of the uterus during gestation 2. Brucella abortus, tuberculosis, Vibrio fetus, mold infection 3. Infection of the uterus immediately after partuition Strept., E. Coli, Staph., Cory. pyogenes. 4. Abortion and premature birth 5. Uterine inertia (primary or secondary) 6. Endocrine disorder 7. Mechanical prevention
    12 : November 11, 2013 12 Indirect causes 1. Stress 2. Transportation, short dry period, change of locality, management problem 4. Deficiency of vitamins and minerals, Carotene, vitamin A, iodine, selenium and vitamin E, imbalance in calcium and phosphorus 5. Hereditary factors
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