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Finals > O&G: Postnatal care > Flashcards

O&G: Postnatal care Flashcards

1
Q

Postnatal Depression

when is baby blues

A

seen in the majority of women in the first week or so after birth

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2
Q

Postnatal Depression

when do you get postnatal depression

A

seen in about one in ten women,

with a peak around three months after birth

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3
Q

Postnatal Depression

when do you get puerperal psychosis

A

seen in about one in a thousand women,

starting 2-3 weeks after birth

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4
Q

Postnatal Depression

how long may baby blues last

A

only a few days

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5
Q

Postnatal Depression

mnx of baby blues

A

none

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6
Q

Postnatal Depression

why may baby blues occur

A
  • Significant hormonal changes
  • Recovery from birth
  • Fatigue and sleep deprivation
  • The responsibility of caring for the neonate
  • Establishing feeding
  • All the other changes and events around this time
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7
Q

Postnatal Depression

classic triad

A
  • low mood
  • anhedonia
  • low energy
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8
Q

Postnatal Depression

how long should sx last before it can be diagnosed

A

at least 2w

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9
Q

Postnatal Depression

trx in mild cases

A

additional support, self-help and follow up with their GP

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10
Q

Postnatal Depression

trx in moderate cases

A

antidepressants and CBT

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11
Q

Postnatal Depression

trx in severe cases

A

may need input from specialist psychiatry services

rarely inpatient care on the mother and baby unit

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12
Q

Postnatal Depression

what is the screening tool

A

The Edinburgh postnatal depression scale

can be used to assess how the mother has felt over the past week

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13
Q

Postnatal Depression

what score on the Edinburgh postnatal depression scale suggest postnatal depression

A

> 10

10q’s out of 30

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14
Q

Postnatal Depression

Puerperal Psychosis: what psychotic sx do women experience

A
  • delusions
  • hallucinations
  • depression
  • mania
  • confusion
  • thought disorder
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15
Q

Postnatal Depression

Puerperal Psychosis: trx

A

urgent assessment and input from specialist mental health services

  • admission to mother and baby unit
  • CBT
  • antidepressants, antipsychotics, mood stabilisers
  • ECT
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16
Q

Postnatal Depression

what is the mother and baby unit

A

for pregnant women and women that have given birth in the past 12 months

mother and baby can remain together and continue to bond.

while they get specialist treatment.

17
Q

Postnatal Depression

mnx for women that have existing mental health concerns before or during pregnancy

A

referred to perinatal mental health services for advice and specialist input

followed up closely after delivery with help from midwives, health visitors, GPs, family and friends

18
Q

Postnatal Depression

what can SSRIs taken during pregnancy lead to

A

neonatal abstinence syndrome (also known as neonatal adaptation syndrome)

19
Q

Postnatal Depression

presentation of abstinence syndrome

A

irritability and poor feeding.

20
Q

Retained Products of Conception

what is it

A

when pregnancy-related tissue (e.g. placental tissue or fetal membranes) remain in the uterus after delivery

it can also occur after miscarriage or termination of pregnancy

21
Q

Retained Products of Conception

what is a significant risk factor

A

placenta accreta

22
Q

Retained Products of Conception

presentation

A
  • vaginal bleeding that does not improve with time
  • abdo vaginal discharge
  • lower abdo or pelvic pain
  • fever (if infection occurs)
23
Q

Retained Products of Conception

diagnostic inx

A

US

24
Q

Retained Products of Conception

mnx

A
  • evacuation of retained products of conception
25
Q

Retained Products of Conception

complications of evacuation of retained products of conception

A
  • endometritis

- Asherman’s syndrome

26
Q

Retained Products of Conception

what is Asherman’s syndrome

A

adhesions form within the uterus –> infertility

27
Q

Postpartum Endometritis

what is it

A

inflammation of the endometrium, usually caused by infection.

It can occur in the postpartum period, as infection is introduced during or after labour and delivery.

28
Q

Postpartum Endometritis

when does it present

A

from shortly after birth to several weeks postpartum

29
Q

Postpartum Endometritis

presentation

A
  • Foul-smelling discharge or lochia
  • Bleeding that gets heavier or does not improve with time
  • Lower abdominal or pelvic pain
  • Fever
  • Sepsis
30
Q

Postpartum Endometritis

inx

A
  • vaginal swabs
  • urine C+S
  • US: rule out retained products of conception
31
Q

Postpartum Endometritis

milder sx and signs of sepsis mnx

A

broad spectrum abx: co-amoxiclav

Finals (47 decks)

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