Postnatal care Flashcards
When is contraception required after childbirth?
after 21 days
When should intra-uterine contraception be commenced, if this is preferred?
Immediately after birth or less than 48 hours after uncomplicated vaginal/C-section; otherwise need to wait 28 days
Under what circumstances can breastfeeding be used for contraception?
<6/12 postpartum, fully breastfeeding + amenorrhoeic
By which day post-partum should the uterus be implapable per abdomen? If it remains palpable what does this suggest?
day 10
retained products
Management of superficial nipple/skin infection in breastfeeding women?
Miconazole gel for both mum and baby
Severe knife-life pain during and up to 1 hr after feeding?
Suggests deeper infection- manage with oral fluconazole 150mg stat and 50mg once daily for 10/7
When does hair loss typically occur post-partum?
5-6 months
When do symptoms of post-natal depression peak?
12 weeks
Management of post-natal depression?
Sertraline safest in breastfeeding, fluoxetine best evidence in non-breastfeeding
Management of endometritis?
Amox + met
or co-amox
Management of hypothyroidism associated with transient autoimmune thyroiditis post-partum?
Treat with levothyroxine for 6/12; then stop for 6 weeks repeat TFTs
Definition of stillbirth?
Baby born dead after 24 weeks
Management of lactation suppression in stillbirth?
Cabergoline 1mg once-off
Drugs in breastfeeding adverse effects: lithium
Hypotonia and cyanosis
Drugs in breastfeeding adverse effects: aspirin
Reye’s syndrome
Impaired platelet function
