Lactation Flashcards
Stages of Labor
Stage 1: onset of ___ to full cervical ___
Stage 2: time from full dilation to ____
Stage 3: times from delivery of infant to delivery of the ____
- labor, dilation
- delivery
- placenta
Induction of Labor
___ used
oxytocin
oxytocin adverse effects (4)
- tachysystole
- hyponatremia
- hypotension
- hyperbilirubunemia (newborns)
max dose of oxytocin is ___ milliunits/min
40 milliunits/min
Efficacy of Oxytocin
- reach active labor sooner and have ___ overall labor
- less likely to require ___ before or during labor
- shorter
- antibiotics
oxytocin for postpartum hemorrhage
- First-line for uterine atony to prevent excessive ___
- range of ___ units/L
- blood loss
- 10-40
oxytocin for medical termination
- typically during ___ trimester
- ___ dose than at term labor ( ___ units/500 mL over 3 hours, 1 hour rest, repeat adding an additional 50 units per cycle)
- 2nd
- higher, 50 units
RID =
(baby mg/kg/day)/(mom mg/kg/day)
Hale’s Lactation
L1. Safest (___, amoxicillin)
L2. Safer (diphenhydramine, ___)
L3. Moderately safe (pseudoephedrine, ___ )
L4. Possibly hazardous (colchicine, ___ )
L5. Contraindicated ( ___ , chemotherapy agents)
- acetaminophen
- fluoxetine
- hydrocodone
- dapsone
- amiodarone
infant effects
SSRIs
- irritability/agitation
- excessive crying
- sedation
infant effects
TCAs
- poor feeding
- emesis
- sedation
T of F: Academy of Breastfeeding Medicine encourages breastfeeding if enrolled in methadone-maintenance program
True
out of all the opioids, ___ is prefered if breast feeding
morphine
what can increase milk supply
- oatmeal
- brewer’s yeast
- metoclopramide
- pumping
T or F: greatest milk supply happens in the morning
True
