Endometrial Changes Sloughing and Regeneration

Within 2 to 3 days postpartum, the remaining decidua become differentiated into two layers:

1. Superficial layer ^ becomes necrotic ^ sloughs off as vaginal discharge = lochia

2. Basal layer (adjacent to the myometrium) ^ becomes new en-dometrium

"Afterpains" due to uterine contraction are common and may require analgesia. They typically decrease in intensity by the third postpartum day.

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