Tuesday, September 20, 2011

29 - Afterpains


- Afterpains are vigorous uterine contractions that arise at intervals during puerperium. 

- These are mostly seen in multiparas when compared to primiparas. 

- This is because the puerperal uterus of primiparas remains tonically contracted.

- These afterpains increase in severity as parity increases.

- They tend to worsen when the infant feeds on the mother's breast because of release of oxytocin, which increases the uterine contraction.

- By the third postpartum day, these afterpains decrease in severity and become mild.


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