Post Partum Care Flashcards

1
Q

If someone is Rh Negative what do you do after delivery

A

Give Rhogam 200 IM within 72 hours

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2
Q

Contraception options for breast feeding or non breastfeeding

A

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

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3
Q

Risks for postpartum hemorrhave

A

Prior history
Rapid or prolonged delivery
Shoulder dystocia
Instrumentation

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4
Q

Etiology for PPH

A

Tone
Tissue
Trauma
Thrombin

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5
Q

Management of PPH

A

ABC
Type and screen 4 units
2 large bore IVs
Uterine massage

Oxytocin on infusion
Ergotamine
Hemabate

Surgery (ligation of artery, hysterectomy, D+C)

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6
Q

Post partum fever

A

Pneumonia
UTI
Wound
DVT
Endometriitis
Mastitis

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7
Q

How to manage thyroid after birth

A

Will likely need to decrease thyroxine dose
Can develop new hypothryoidism at 6-12 months

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8
Q

Postpartum depression risks and treatment
Use the Edinburgh postpartum depression scale

A

Person or family history
Poor support
Sick infant

CBT
Citalopram, escitalopram, Sertraline

2nd line=Buproprion, duloxetine, mirtazapine, Venlafaxine

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9
Q

When can you do a TOL after section

A

18 months out with no contraindications to vaginal delivery

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10
Q

What are the main bacterial causes of mastitis?

A

A. Aureus, B hemolytic strep, E.coli

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