Components of a Postpartum (PP) Visit Flashcards
When should the comprehensive postpartum visit occur?
Between 4–12 weeks postpartum.
What are the primary goals of the postpartum visit?
Assess maternal physical and mental health, screen for complications, discuss infant care, and provide reproductive counseling.
What should be assessed in routine health maintenance during a postpartum visit?
Vaccination status, cardiovascular risk assessment, tobacco use, weight management.
What cardiovascular risk factors should be evaluated postpartum?
History of preterm birth, gestational diabetes, hypertensive disorders, preeclampsia.
What screening should be performed for postpartum patients with gestational diabetes?
Glucose testing at 4–12 weeks postpartum to assess for persistent diabetes.
What is recommended for postpartum patients with hypertension?
Blood pressure check within 10 days of delivery.
What are key aspects of mental health assessment at the postpartum visit?
Screening for depression, anxiety, bipolar disorder, PTSD, and substance use.
What tools are recommended for postpartum depression screening?
Edinburgh Postnatal Depression Scale, PHQ-9.
What screening tool is used for postpartum anxiety?
GAD-7.
What are self-care recommendations for postpartum well-being?
Prioritizing sleep, healthy diet, regular exercise, requesting support from family and friends.
What are red flags for postpartum complications requiring referral?
Severe headache, visual disturbances, uncontrolled hypertension, excessive bleeding, signs of infection.
What reproductive health topics should be discussed at the postpartum visit?
Contraception options, timing of next pregnancy, gynecologic concerns (e.g., dyspareunia, incontinence).
What is the recommended interpregnancy interval?
Avoid pregnancy within 6 months; discuss risks/benefits of pregnancy within 6–18 months.
What are common gynecologic concerns postpartum?
Perineal lacerations, C-section incision healing, urinary incontinence, fecal incontinence, dyspareunia.
When is a pelvic exam indicated during the postpartum visit?
Only if there are specific patient concerns or if an annual well-woman exam is due.
What social and material needs should be assessed postpartum?
Housing, food, access to healthcare, social support.
When should intimate partner violence screening occur postpartum?
At every visit, using validated screening tools.
What contraceptive options should be discussed postpartum?
LARCs (IUDs, implants), progestin-only methods, barrier methods, sterilization.
What guidance should be given on postpartum libido?
Low libido is common and improves with time as estrogen levels normalize.
