Postpartum Systemic Changes

Gastrointestinal System

  • Appetite increases after delivery. They can usually tolerate a light diet shortly after giving birth and take in double portions of meals once the effects of anesthesia and analgesia wears off.
  • Excess analgesia and anesthesia may delay return of gastrointestinal tract to its normal tonicity and motility.
  • There may be difficulty to defecate until 2-3 days postpartally as explained by the decreased intestinal tone. Once bowel tone normalizes, regular bowel habits need to be reestablished.

Neurological System

  • Elimination of physiologic edema through the increased diuresis relieves the “carpal tunnel syndrome” experienced by pregnant women because there is relieved pressure in the median nerve.

Musculoskeletal System

  • Hypermobility of joints as a normal adaptation in pregnancy are completely reversed by the 6th to 8th week postpartum.
  • The center of gravity returns to normal since the gravid uterus was already emptied.

Integumentary System

  • Chloasma disappears once pregnancy is terminated.
  • Hyperpigmentation and darkening of the areola usually does not completely regress postpartally.
  • Stretch marks may fade but not totally disappear.
  • Spider angioma, palmar erythema, etc. regress due to the rapid decline in estrogen levels after delivery.

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