16 - Obs - The Puerperium - Other puerperium problems Flashcards
1
Q
Secondary Postpartum Haemorrhage - Due to ? +/- retained ? tissue. Give ?, do ? of retained products of ? (ERPC) if no improvement
A
endometritis placental ABx evacuation conception
2
Q
Pyrexia
?, wound, perineal, urine, ? and chest ?, thrombo-?
Do ? and give ?
A
endometritis breast infection embolism cultures ABx
3
Q
Urinary incontinence - ?%
exclude ? and retention. Usually improves with ?. Do urine ? and arrange ?
A
20% fistula time culture physiotherapy
4
Q
Urinary retention
- due to ? or delivery, esp if used ?
- ? for at least ?hs
A
epidural
forceps
catheterize
24hrs
5
Q
Faecal incontinence - ?%
-exclude ? fistula, can be due to anal ? or ? ? damage - ass w ? degree tears and ? delivery. Treat with ? +/- ? repair
A
4% rectovaginal fistula sphincter pudendal nerve 3rd forceps physio sphincter
6
Q
Postnatal depression
- ?%
- ID is ? and poor.
- treat with ?, ? and drugs.
- risk of ? most with ? psych illness
A
10% difficult psychotherapy support suicide previous
7
Q
Thrombosis - 0.5%
- major cause of ?
- ? if high risk according to formal ? ?
- trt with subcut ????
A
mortality
prophylaxis
risk assessment
LMWH (Clexane)
