Postnatal Care Flashcards
1
Q
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what is the ‘puerperium’?
A
postnatal period = the first 6 weeks aster baby is born
2
Q
what are the complications of breast feeding?
A
- mastitis
- blocked milk ducts
- difficulty feeding/baby latching
- skin irritation ‘cracked nipples’
3
Q
list some key postnatal conditions to be aware of
A
- postpartum haemorrhage
- venous thromboembolism
- sepsis
- psychiatric disorders of the puerperium
- pre-eclampsia
4
Q
describe primary PPH
A
- blood loss of > 500ml within 24hrs of delivery
- tone, trauma, tissue, thrombin (4Ts)
5
Q
describe secondary PPH
A
blood loss > 500ml from 24hrs postpartum to 6 weeks
- retained tissue, endometritis (infection), tears/trauma
6
Q
pregnant woman are how many times for likely to develop DVT or PE?
A
6-10 times
7
Q
how is a venous thromboembolism investigated?
A
- ECG
- leg dopplers
- CXR +/- VQ scan or CTPA
- treat wife low molecular weight heparin
- warfarin is teratogenic but can be used when breast feeding
