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Post Partum Care and Lactation > Class 6 > Flashcards

Class 6 Flashcards

1
Q

Benefits of waiting for the newborn bath?

A

Thermoregulation: the vernix on the skin of the baby helps them keep their temperature
Skin Conditioning: vernix is good for the newborn skin
Antimicrobial: vernix is the baby’s first line of defense against germs
Assists in breastfeeding: the smell of amniotic fluid is good for the mom and baby

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2
Q

When can the baby’s body be submerged in water?

A

After the cord falls off.

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3
Q

How many babies are circumcised?

A

30%, mostly in Muslim countries and communities

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4
Q

What is the American Academy of Pediatrics’ stance on circumcision?

A

Has potential advantages as well as risks; recent analysis concludes the benefits outweigh the risks

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5
Q

What are the anesthesia methods for circumcision?

A

Lidocaine injection, sucralose, and EMLA cream (needs to be on 30 minutes ahead of time to have its full effect)

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6
Q

What are the benefits of circumcision?

A

Hygiene, prevention of infection, increased risk of penile cancer if they are not circumcised

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7
Q

What are the different instruments used for circumcision?

A

GOMCO, Mogan, Plastibel

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8
Q

How does parents care for the circumcision?

A

Fresh wound; put vaseline on it and cover it with gauze. It will naturally go from reddish to healing yellow, then it will start to look normal and dry up.

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9
Q

Signs of newborn infection?

A

Fever usually lowers, stops demanding/waking to feed; Fever greater than 100.4, diarrhea, increased heart rate, pneumonia and tetanus

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10
Q

Meconium aspiration

A

NRP recommends you do not suction a meconium baby unless they are not vigorous (comes out crying with normaly heart rate and respiratory effort)
If the baby is not vigorous they should not stimulate the baby because they could ingest meconium into the trachea. The baby needs to be deep suctioned through the nose or mouth to prevent pneumonia

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11
Q

Transient Tachypnea of the Newborn

A

TTN
Wet lung syndrome
Usually lasts anywhere from 24-72 hours
Tachypnea: increased respirations
Babies born with this usually recover within 3 days of birth
Often babies with TTN will get tired and can give out and stop breathing.
Large, male babies are at increased risk for TTN

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12
Q

What is postpartum depression more common than?

A

Gestation diabetes
Preterm labor
Low birth weight
Pre-eclampsia and high blood pressure

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13
Q

What percentage of women experience post-partum depression

A

15-20%

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14
Q

6 things to avoid if you have PPD/Anxiety

A 
Scary stuff
over-shceduled life
Negative thoughts of yourself
Unsupportive people
Procrastination
Self-diagnosing or treating
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15
Q

6 Surprising symptoms of PPD or Anxiety

A 
Anger
Scary thoughts
Numbness
Insomnia
Physical symptoms
Brain fog
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16
Q

What are roles of a postpartum doula?

A

Bridging the gap
Mothering the mother
Support

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17
Q

How do we define support?

A

Informational (educational, opening the door rather than pushing them through it)
Emotional/Reassuring support (presence, listening ear, etc.)
Practical Support
The goal is to empower women

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18
Q

What are benefits of postpartum support?

A

Lower rates of postpartum depression
More success with breastfeeding
More confident parenting
Fathers feel more confident and involved

19
Q

Goals of the postpartum doula

A

Nurture new parents into their role
Build self-confidence in the parents
Diminish the parent’s need for them over time

20
Q

Care of a cesarean mother

A

Immediately after: pain management (demerol, morphine), one hour after birth she goes to recovery, has a catheter and IV, more likely to hemorrhage, nausea and cold sweats, chapstick, drowsiness
Incision Care
Extra Breastfeeding support
Reflection Time
Extra assistance: in hospital, at home ICAN

21
Q

Care of a mother with a loss

A 
Isolation is the most common complaint
Meals are still needed
Rest is still needed
Childcare for their other children
Support from family and friends can be important for up to two years
Drying up the milk
22
Q

What are the postpartum emotional must haves

A

Community/Adult time
Self care (Exercise, nutrition, rest, meditation/prayer, yoga)
Asking for help

23
Q

What are the postpartum physical must haves?

A 
Tucks pads
Stool softener
Breast pads
Preparation H
Sanitary Napkins 
Granny panties
Motrin or afterease
Ice packs or diapers
Boppy
Nursing tanks
Robe
24
Q

What birth control methods are 99% effective?

A

Vasectomy
Female sterilization
IUD
Implant

25
Q

What birth control methods are 92-97% effective?

A 
Breastfeeding (until sixth month)
Shot
Pill
Ring
Patch
26
Q

What methods are 80-85% effective?

A 
Male condom
Diaphragm
Female condom
Cervical Cap
Sponge
Fertility awareness based methods
27
Q

What methods are less than 85% effective?

A

Withdrawal

Spermicide

28
Q

Progestin only mini pill

A

Good for women who are breastfeeding, over 35, or have history of heart disease or stroke
issues: have to be taken at the same time every day

29
Q

COC (combined oral contraceptives

A

Different phases: mono, Bi, Tri, Quadra
NEgative: specifications regarding what you can do if you miss a pill
More physical symptoms
Side effects: change in bleeding patterns, headaches, dizziness, nausea, breast tenderness, weight changes, mood swings, acne

30
Q

Emergency (morning after pills)

A

Used within 5 days after unprotected sex
Preventing or delaying the release of eggs
Does not work if a woman is already pregnant

31
Q

Extended cycle

A

Eliminates your period so you have little to no bleeding

It doesn’t allow the uterus to line as it does in most cycles.

32
Q

What are points about the pill?

A

Low doses of progestin and estrogen
Prevents the release of eggs from the ovaries
Fertility returns once you stop taking the pills
Take daily

33
Q

What women are birth control pills contraindicated for?

A

Greater than 35
Obese
History of heart disease, stroke, heart attacks, liver cancer, breast cancer, smokers, Migraines
Risk of blood clots
Women are are taking meds: antibiotics, seizure meds, HIV meds, and St. John’s wort

34
Q

What is the patch?

A

99% effective
Weekly patch, 4th week no patch
Same side effects and contraindications as the pill

35
Q

Progestin only injections

A

The shop or Depo
Bleeding changes are a problem
Return for injections every 3 months
Gradual weight gain
Fertility is often delayed
Side effects: anaemia due to irregular bleeding, weight gain, headaches, dizziness, abdominal bloating, mood changes, less sex drive
What six weeks after birth to get the first dose
Issue: Lose of bone density lead to osteoporosis

36
Q

How long are monthly injectables effective?

A

3 Years

37
Q

Implanon

A 
Effective for 3 years
Immediately reversible
Bleeding changes
Thickening cervical mucous preventing sperm from entering
Preventing release of eggs
ABout 4cm long and 2mm in width
Usually put underneath the arm
Most women stop doing because of the bleeding changes.
38
Q

Copper Bearing Intrauterine Device

A

Chemical
Can be given within 48 hours after birth, or delayed 4 weeks
If breastfeeding and monthly period hasn’t returned, can have IUD inserted 2 weeks to 6 months after giving birth
Watch for anemia

39
Q

Levonorgesterl Intrauterine Device

A 
Hormonal
Mirena
Effective for 5 years
Immediately reversible
Suppresses the growth of the lining of the uterus
Releases small amounts of progestin
Can be inserted 4 weeks after birth
Risk: perforation of the uterus
40
Q

What are short term birth control methods?

A

Condoms, spermicide

41
Q

What are intermediate birth control methods?

A 
Pill
Patch
Depo
Implant (3 years)
IUD
Copper IUD (10-15 years)
Mieran (5 Years)
42
Q

What are long term birth control methods?

A

Vasectomy
Tubal Ligation
Essure (device implanted into the tubes

43
Q

What are older birth control methods?

A

Diaphragm
Cervical Caps
Sponge

44
Q

What is the only method of birth control that protects against HIV/AIDS and STDs?

A

Male condom.

Post Partum Care and Lactation (6 decks)

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