Obstetrics - Postpartum Flashcards
1
Q
Perineal tears
A
1st degreee - skin/vaginal epithelium
2nd degree - perineal muscles
3rd degree - anal sphincter
4th degree - internal anal sphincter and rectal mucosa
2
Q
Prevalence post-natal depression
A
8-15%
3
Q
Prevalence baby blues
A
> 50%
4
Q
Risk factors for PND (5)
A
Psych Hx Depression during pregnancy Social isolation/deprivation Poor relationships Recent adverse life events
5
Q
Risk factors for puerperal psychosis (5)
A
Hx postnatal psychosis Hx severe depressive illness FH bipolar or affective psychosis Young age Primiparity
6
Q
Lactation reduced by (3)
A
Smoking
OCP
Diuretics
Also, Sheehan’s syndrome (pituitary necrosis) results in no lactation
7
Q
Contraindications to breastfeeding
A
HIV
CMV
Chronic Hep B/C
Radioisotopes or cytotoxic agents
8
Q
When does uterus return to normal size
A
6 weeks postpartum
