Before revision: Factors Persistent lochia/fresh bleeding Long labor anesthesia full bladder difficult delivery retained placenta maternal infection Management Antibiotics in endometritis Exploration of the uterus in retained products Ergometrine so often prescribed to enhance the involution process by reducing the blood flow of the uterus is of no value in prophylaxis.
After revision: CausesPredisposing factors grand multiparity overdistension of uterus as in twins and hydramnios ill maternal health caesarean section uterine prolapse retroversion after the uterus becomes pelvic organ uterine fibroidAggravating factors Retained products of conception Uterine sepsis, endometritisFactors Persistent lochia/fresh bleeding Long labor anesthesia full bladder difficult delivery retained placenta maternal infection Management Antibiotics in endometritis Exploration of the uterus in retained products Ergometrine so often prescribed to enhance the involution process by reducing the blood flow of the uterus is of no value in prophylaxis.