contraception in post natal period Flashcards
postnatal contraception when is it required
Contraception is not required for the first 3 weeks postpartum.
Female sterilisation
Can be performed at the time of caesarean section
Male and female condoms
Can be used any time after delivery
how long should you wait for diaphragm
6 week
Intrauterine contraception (copper intrauterine device and levonorgestrel-releasing intrauterine system)
Can be inserted immediately after delivery, up to 48 hours after delivery
After 48 hours, insertion should be delayed until 28 days after childbirth
when can the POP be taken
straight after pregnancy
Combined hormonal contraception (CHC)
(e.g. the combined oral contraceptive pill, patch or vaginal ring)
Women who are not breastfeeding and have no additional risk factors for VTE should wait until 21 days after childbirth before initiating CHC - Additional risk factors for VTE include immobility, having had a blood transfusion at delivery, BMI ≥30, postpartum haemorrhage, pre-eclampsia and smoking
if breastfeeding how long should you wait before COCP
6 week
when can lactational amenorrhea be used
Lactational amenorrhoea
Can be used if the woman is less than 6 months postpartum, amenorrhoeic and fully breastfeeding
if cervix not ready off bishop score what shoul you
admisiter prostaglanin E2 for cervical ripening
parity is suffixed by number of what
miscarriages or termiantions ealeir than 24 weeks
what is the mother given in a hepatitis b infection
The carrier status of the mother at the time she delivers conveys the risk of vertical transmission. A patient who is positive for both HbsAg and HbeAg, has a ~95% chance of vertical transmission. To attenuate this chance, the newborn is given HBV IgG and HBV vaccination within 24 hours of delivery. This therapy is estimated to be ~95% effective at preventing vertical transmission.
when is the anomaly scan
18-20+6 weeks
