Menstruation and Fertility Postpartum

Question 1

What is lochia?

Answer 1

Blood, mucus, endometrial lining

Question 2

How long is lochia?

Answer 2

Up to 6 weeks

Question 3

Appearance of lochia

Answer 3

Dark red —> Brown —> lighter

Question 4

Should not be used in lochia management:

Answer 4

Tampons (can cause infection)

Question 5

What exacerbates lochia?

Answer 5

Breastfeeding increases the contractions of uterus

Question 6

How quickly does menstruation return (if no breastfeeding)?

Answer 6

After 3 weeks

Question 7

When is or fertile again postpartum (if no breastfeeding)?

Answer 7

21 days

Question 8

Lactational amenorrhoea as contraception, how effective?

Answer 8

98% effective if:

1) exclusively breastfeeding
2) pt is completely amenorrhoeic

Question 9

2 systemic hormonal contraceptives safe in breastfeeding?

Answer 9

Implant

POP

Question 10

What is UKMEC?

Answer 10

UK Medical Eligibility Criteria for Contraceptive Use

Question 11

Breastfeeding for the first 6 weeks UKMEC

Answer 11

COCP

Question 12

Insertion of IUS / IUD in postpartum patient?

Answer 12

Either <48h or >4 weeks but NOT in between