Subinvolution of uterus

2.  Involution of the uterus:
Involution is a process whereby the genital organs
revert back approximately to the state as they were before
pregnancy.

4. Size of the uterus:
 Non pregnant state – 7.5cms in length and 60gm in
weight.
 Pregnant state – 35cms in length and 900-1000gm in
weight.
 Puerperium – 7.5cms in length and 60gms in weight.

6.  Definition –
When the involution is impaired or retarded it is
called subinvolution.
The uterus is the most common organ affected in subinvolution.

7. PREDISPOSING FACTORS-
 Grand multiparity
 Over-distension of the uterus
 Maternal ill health

8. PREDISPOSING FACTORS-
 Caesarean section
 Prolapse of the uterus

9.  Retroversion after the uterus becomes pelvic
organ
 Uterine fibroid

10. AGGRAVATING FACTORS ARE :
 Retained products of conception
 Uterine sepsis(endometritis)

11.  Asymptomatic
 Abnormal lochial discharge (excessive or prolonged)
 Excessive uterine bleeding
 Irregular cramp like pain

12.  The uterine height is greater than the normal
 Presence of features responsible for subinvolution may
be evident

13.  Mere size of the uterus is not important if there is
absence of features such as excessive lochial or
irregular bleeding or sepsis, the size of, appropriate
therapy is to be instituted only when subinvolution is
found to be a mere sign of some local pathology

14.  Antibiotics in endometritis
 Exploration of the uterus in retained products
 Pessary in prolapse or retroversion.
 Methargin- to enhance the involution process