Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Obs and Gynae > Postnatal Care > Flashcards

Postnatal Care Flashcards

1
Q

Define lochia

A

PV bleeding as endometrium breaks down and returns to normal

Dark red colour, turns brown then becomes lighter

Should settle within six weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define lactational amenorrhoea

A

Absence of periods related to breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When does fertility return after childbirth?

A

21 days postpartum

Contraception isn’t required up to this point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When can the POP and implant used?

A

Safe in breastfeeding

Started any time after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When can the COCP be used?

A

Avoid in breastfeeding

After six weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When can the copper coil or IUS e.g. Mirena be used?

A

Within 48 hours of birth

OR

> 4 weeks after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Presentation of endometritis?

A

Foul-smelling discharge

Bleeding

Lower abdo/pelvic pain

Fever

Sepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define retained products of conception

A

Pregnancy related tissues e.g. placental or fetal membranes

Remain in the uterus after delivery

Risk factor: placenta accreta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Presentation of retained products of contraception

A

PV bleeding

Abnormal discharge

Lower abdo or pelvic pain

Fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How do you confirm RPOC?

A

USS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Overview of evacuation of retained products of conception

A

Surgical procedure under GA

Cervical dilation

Vacuum aspiration and curettage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Ashermans Syndrome

A

Adhesions within the uterus

Due to endometrial curettage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When are iron infusions contraindicated?

A

Active infection

Iron can cause proliferation of pathogen and worsening of the infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define Baby Blues

A

50% of women 1/52 after birth

Mood swings, low mood, anxiety, irritability and tearfulness

No tx needed, often resolves w/in 2/52

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Three features of postnatal depression

A

Low mood

Anhedonia (lack of pleasure in activities)

Low energy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Define Edinburgh Postnatal Depression Scale

A

Assessment of how mother has felt over the past week

Screening tool for postnatal depression

Max 30 - score =>10 suggests postnatal depression

17
Q

Define Puerperal Psychosis

A

Rare but severe illness

Often onset between 2-3 weeks after delivery

Women experience full psychotic symptoms

18
Q

Name four features of puerperal psychosis

A

Delusions

Hallucinations

Depression

Mania

19
Q

Name four treatment options for puerperal psychosis

A

Admission to mother and baby unit

CBT

Medications e.g. antidepressents, antipsychotics or mood stabilisers

ECT

20
Q

Which service should mothers with pre-existing mental health be referred to in pregnancy?

A

Perinatal mental health services

21
Q

Define mastitis

A

Inflammation of breast tissue

Common complication of breastfeeding

w/ or w/o infection

22
Q

What are the two causes of mastitis?

A

Obstruction in ducts and accumulation of milk

Bacteria causing inflammation and infection e.g. staph aureus

23
Q

What are the key features of mastitis?

A

Unilateral breast pain and tenderness

Erythema in focal area

Local warmth and inflammation

Nipple discharge

Fever

24
Q

Which antibiotic is used in bacterial mastitis?

A

Flucloxacillin

Erythromycin in penicillin allergy

Encourage continued breastfeeding

25
Q

Define post-partum thyroiditis

A

Changes in thyroid function within 12 months of delivery

26
Q

Treatment of thyrotoxicosis in postpartum thyroiditis?

A

Symptomatic control

e.g. propranolol

27
Q

Treatment of hypothyroidism in postpartum thyroiditis?

A

Levothyroxine

28
Q

What is needed long term in those with postpartum thyroiditis?

A

Annual monitoring of TFTs

29
Q

Define Sheehan’s Syndrome

A

Post-partum haemorrhage

Causes avascular necrosis of the pituitary gland

Low BP and reduced perfusion leads to ischaemia and cell death

Anterior pituitary only

30
Q

Name four features of Sheehan’s syndrome

A

Reduced lactation (lack of prolactin)

Amenorrhoea (lack of FSH and LH)

Adrenal insufficiency and adrenal crisis, due to low cortisol (lack of ACTH)

Hypothyroidism with low thyroid hormones (lack of TSH)

31
Q

What is the key principle of managing Sheehan’s syndrome

A

Replacement of the missing hormones

Obs and Gynae (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions