产后日常照护指导Postpartumdailycareguidance产后恢复培训章Postpar.pptx

产后日常照护指导Postpartumdailycareguidance产后恢复培训课程-章PostpartumRecoveryTrainingCourse

产褥期的临床表现及照护ClinicalManifestationsandCareofthePuerperium剖宫产产后照护Postpartumcareaftercesareansection目录（Content）3.顺产产后照护Postpartumcareaftervaginaldelivery4.产后恢复的最佳时间Thebesttimeforpostpartumrecovery

产褥期是指从胎盘娩出至产妇全身各器官除乳腺外恢复或接近正常未孕状态所需的一段时期。一、产褥期的临床表现（Clinicalmanifestationsofthepuerperium）产褥期的定义(Definitionofpuerperium)：(Puerperiumreferstotheperiodfromplacentadeliverytotherecoveryorclosetothenormalstateofnon-pregnancyofallorgansofthepuerperaexceptmammaryglands.)一般规定为6周。(Generallyfor6weeks.)

生命体征(Vitalsigns):01体温：多数在正常范围内。可在产后24小时内略升高，如果会阴侧切或剖宫产，术后1-3天可以有体温升高，但是一般不超过380C,为吸收热，无须治疗。(Bodytemperature:Mostlywithinthenormalrange.Thebodytemperaturecanbeslightlyincreasedwithin24hoursafterdelivery.Ifthereislateralepisiotomyorcesareansection,thebodytemperaturecanrise1~3daysaftertheoperation,butgenerallydoesnotexceed38C,whichisabsorptionfeverandnotreatmentisneeded.)脉搏：在正常范围内，一般略慢，为每分钟60-70次。(Pulse:withinthenormalrange,generallyslightlyslower,60~70beatsperminute.)02（Clinicalmanifestationsofthepuerperium）一、产褥期的临床表现

生命体征(Vitalsigns):03呼吸：产后呼吸深慢，一般每分钟14-16次，是由于产后腹压降低，膈肌下降，由妊娠期的胸式呼吸变为胸腹式呼吸所致。(Respiration:deepandslowafterdelivery,generally14~16respirationperminute,whichisduetothedecreaseofabdominalpressureafterdelivery,thediaphragmdescends,andthethoracicrespirationduringpregnancychangestothoracoabdominalrespiration.)血压：维持在正常范围。(Bloodpressure:remainsinthenormalrange.)02（Clinicalmanifestationsofthepuerperium）一、产褥期的临床表现

胎盘娩出后，子宫圆而硬，宫底在脐下一指。产后第1天略上升至脐平，以后每日下降1-2厘米，至产后10天子宫降入骨盆腔内。剖宫产产妇子宫复旧所需时间略长。子宫复旧(Uterineinvolutation:):一、产褥期的临床表现（Clinicalmanifestationsofthepuerperium）(afterdeliveryofplacenta,theuterusisroundandhard,andthefundusisonefingerbelowtheumbilicus.Onth