Post Partum Care Flashcards
If someone is Rh Negative what do you do after delivery
Give Rhogam 200 IM within 72 hours
Contraception options for breast feeding or non breastfeeding
IUD at 6 weeks for all
Micronor 6 weeks postparum if breast feeding and can switch to OCP when supplemental feeding introduced
OCP at 3 months if breast feeding exclusively
OCP at 3 weeks postpartum if not breastfeeding
Risks for postpartum hemorrhave
Prior history
Rapid or prolonged delivery
Shoulder dystocia
Instrumentation
Etiology for PPH
Tone
Tissue
Trauma
Thrombin
Management of PPH
ABC
Type and screen 4 units
2 large bore IVs
Uterine massage
Oxytocin on infusion
Ergotamine
Hemabate
Surgery (ligation of artery, hysterectomy, D+C)
Post partum fever
Pneumonia UTI Wound DVT Endometriitis Mastitis
How to manage thyroid after birth
Will likely need to decrease thyroxine dose
Can develop new hypothryoidism at 6-12 months
Postpartum depression risks and treatment
Use the Edinburgh postpartum depression scale
Person or family history
Poor support
Sick infant
CBT
Citalopram, escitalopram, Sertraline
2nd line=Buproprion, duloxetine, mirtazapine, Venlafaxine
When can you do a TOL after section
18 months out with no contraindications to vaginal delivery
What are the main bacterial causes of mastitis?
A. Aureus, B hemolytic strep, E.coli
