Post-partum medications

Question 1

What are analgesia can midwives prescribe?

Answer 1

• Paracetamol
• NSAID
• OPIODS

Question 2

What does NSAID stand for?

Answer 2

Non-Steroidal Anti-inflammatory Drugs

Question 3

When should a midwife avoid NSAID?

Answer 3

• In pregnancy
• Asthma
• Pre-eclampsia
• Renal/heart disease ( will increase sodium and water retention)
• Peptic ulcer disease (may cause bleeding)

Question 4

How would you prescribe paracetamol?

Answer 4

500mg tab
1g tablet every four hourly with a maximum dose of 4g in a 24 hour period.
6/52
Take 1 to 2 tabs every four hourly with a maximum dose of 4g over 24 hours
6/52

Question 5

Can you prescribe diclofenac for sever after pains?

Answer 5

• Yes if women has had diclofenac before and she has no other contraindications.

Question 6

200mg to 400mg tablets every 6-8 hours with a max dose of 1200mg in 24 hours

Answer 6

Ibuprofen

Question 7

When would midwives prescribe PA Diclofenac?

Answer 7

The Wahine has experienced a tear that needed suturing

Question 8

What haemorrhoid suppositories can we prescribe?

Answer 8

• Proctosedyl 1 suppository into rectum 3 QID for a week
  followed by twice daily for seven days
  then once a day for seven days
  3/52

Question 9

Antibiotics for infection of section wound?

Answer 9

Amoxycillin or amoxycillin clavulanate

Question 10

if a Wahine has a penicillin allergy what would be the alternative antibiotic for a wound infection or mastitis?

Answer 10

Erythromycin