Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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When the involution of the uterus is impaired, it is called uterine subinvolution. Of the following, which is a probable delivery cause of uterine subinvolution?
  1. Cesarean section
  2. Weakness of ligament
  3. Placenta previa
  4. Puerperal pyrexia
Explanation
Answer: A - Cesarean section

When the involution of the uterus is impaired, it is called uterine subinvolution.The involution state in the puerperium is assessed by looking at the fundal height (and consistency of the uterine fundus) plus the character and amount of lochia.

Causes of subinvolution include:
1. Grand multiparity
2. Overdistension of uterus
3. Maternal ill health
4. Cesarean section
5. Uterine prolapse
6. Uterine sepsis
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