Post-Partum Flashcards
usually the uterus returns to non-pregnant size by ___ weeks
4 weeks
what are the 2 most common causes of subinvolution?
- retention of placental fragments
- chlamydia infection
Most women reach self reported prepregnancy weight by ____ months, retain about 3 lbs.
6 months
Infants should be exclusively breast fed for the first ____ months of life.
6 months
What medication was originally used for lactation inhibition in patients who prefer bottle feeding?
no longer used but she highlighted it
Bromocriptine
What is the first fluid secreted by the breasts that is higher in mineral and protein content compared to milk.
Colostrum
Breast milk is lower than cow’s milk in this mineral and this vitamin.
- Iron
- Vitamin K
With which of the following viruses is breast feeding contraindicated?
a. Hepatitis B
b. Hepatitis C
c. CMV infection
d. HIV infection
d. HIV infection
________ only contraceptives may be started 2-3 weeks post partum.
Progestin “mini-pill”
estrogen can’t be given = decreases milk + increases venous thrombosis
What is the most common pathogen causing Mastitis?
Staph aureus
A patient presents with mastitis. should they continue breast feeding?
yes!
If post partum blues do not resolve within __ weeks, patients should seek prompt evaluation for post partum depression.
2
Sadness, irritability, anxiety, and crying spells within 2-3 days post-partum is consistent with this condition.
post partum blues
Which of the following is associated with post-partum depression?
a. ethnicity
b. mode of delivery
c. trauma during pregnancy
d. weight gain
c. trauma during pregnancy
In a women with a history of PPD should you stop antidepressant medications during pregnancy?
NO, continue medication!
recurrent risk is over 50% for PPD
be careful with Paxil = associated with heart defects; need to send for fetal echo
