Post Partum Period

Question 1

What is classed as the post-partum period?

Answer 1

Placental delivery -> 6/52 weeks after

Question 2

What are some anatomical changes that occur in the post-partum period?

Answer 2

Reduction in size of vulva vagina and cervix
Vaginal dryness
Withdrawal of transformation zone into the endocervix
Uterine involution

Question 3

What is lochia alba high in?

Answer 3

Cholesterol
Fat
Mucus
Microorganisms

Question 4

Why does Hb go back to a normal level?

Answer 4

Diuresis - reduction in plasma volume

Question 5

Give some functions of the colostrum.

Answer 5

Mild laxative effect - encourages the passing of the first stool 
Immune cells - lymphocytes
Innate immunity (IgA, lactoferring, lactoperoxidase and proline rich peptides)

Question 6

What is the difference between fore milk and hind milk?

Answer 6

Foremilk - high water content

Hind milk - more fats and iron

Question 7

Give some breast problems seen in the PP period.

Answer 7

Nipple sensitivity and pain 
Engorgement
Mastitis
Breast abscess
Breast lymph node

Question 8

What is the Tx for uterine atony?

Answer 8

Fundal massage

Urination

Question 9

What is definition of post partum depression?

Answer 9

Depression within 4/52 weeks of delivery

Question 10

What are some perinatal mental health issues?

Answer 10

Postnatal blues
Postpartum depression
Puerperal psychosis 
PTSD
Sexuality and sexual function changes

Question 11

Why is childbirth a good opportunity for contraception provision?

Answer 11

Surrounded by HCPs

High motivation to start using an effective method