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Jason's MD3 Women's > Postnala Care And Lactation > Flashcards

Postnala Care And Lactation Flashcards

1
Q

When does uterus return to pelvis?

A

2 weeks

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2
Q

What is Lochia? Normal amount?

A

Blood and decidua in puerperium period

200-500ml- mean in first month

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3
Q

Genitourinary change during preg?

A

Risk of pyelonephritis and UTIs

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4
Q

Hypercoagulable state during preg why?

A

to clot after bleeding

BUT need Thromboembolic prophylaxis if bad

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5
Q

Benefits of breast feeding

A 
Cheaper
Reduction of atopy and infections
Environmentally friendly
Obesity less
IQ
SIDS
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6
Q

Benefits for breast feeding for mother?

A

Less breast cancer
Less ovarian cancer
‘Contraceptive’ effect

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7
Q

Who shouldn’t breastfeed?

A

HIV (in Australia)

Drugs: Anti neoplastic agents, ergotamine, methotrexate, cyclosporine, radio pharmaceuticals

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8
Q

Warfarin safe in breastfeeding?

A

YES.

but terrible in Preg.

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9
Q

How to encourage breast feeding?

A

Early feeding and skin-skin
Encourage demand feeding
Encourage ‘rooming in’
Avoid supplemental feeds

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10
Q

How to maintain lactation after delivery?

A

Prolactin and oxytocin (initial)
Supply and demand
Nipple stim

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11
Q

Colostrum

A

Thick, small volume, immunoglobulin rich

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12
Q

Low supply? 2 kinds?

A

Perceived low supply: softer

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13
Q

Actual low supply? How to know?

A

Less than 500g/month,

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14
Q

How to treat mastitis?

A

Fluclox
Analgesia, fluids
Keep feeding (painful)

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15
Q

Post natal exam?

A 
General appearance,
Vitals
Uterus invulusion
Wound good
Urinary/BM
Breast nipple symptoms
Allied health
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16
Q

Postpartum Probs?

A

Puerperal sepsis?

>38 within 2 weeks birth

17
Q

Sources of Postpartum sepsis? (Good exam question)

A 
UTI
chorioamnitis
Retained products
Infected wounds
Mastitis
IV sites, 
Also: Influenza
18
Q

Secondary postpartum haemorrhage/endometritis

A 
Bleeding more than 24 hours after delivery
Causes: rained products
Fever, tachy
Cultures
U/S Scan
19
Q

How to treat endometritis?

A

Fluid resus

Broad spectrum Abx

20
Q

Post partum Blues?

A

Normal, day 3-4, then gets better

21
Q

In absence of breastfeeding, when ovulate?

A

Ovulate at 8 weeks usually

22
Q

Breast feeding alone

A

97% effective if:

Jason's MD3 Women's (58 decks)

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