Post-partum care Flashcards
Presentation of post-partum endometritis [5]
Foul smelling vaginal discharge/ lochia
Heavy vaginal bleeding
Lower abdominal/ pelvic pain
Fever
Sepsis
Investigations in postpartum endometritis
High vaginal swabs
- Chlamydia, gonorrhea
Urine MC +S
Blood culture if septic
Indications for hospital admission for postpartum endometritis
Sepsis
Temperature >38
HR persistently >90
Uterine/ renal angle pain
Tachypnoea (>20)
First line management of postpartum endometritis
Clinidamycin + gentamicin
Long-term care for postpartum thyroiditis
Annual TFTs to assess for persistent hypothyroidism
Post-term pregnancy is defined as pregnancy…
Extended to 42 weeks +
Neonatal complications of post-term pregnancy
Oligohydramnios
Reduced placental perfusion
Neonatal ITU
Stillbirth, neonatal death
Maternal complications of post-temr pregnancy
Instrumental delivery
C-section
Induced labour
Induction of labour is recommended from …
41 weeks
