Postnatal check Flashcards

1
Q

Important information to gather

A
General well being
Breast feeding
Coping with baby, mood
Contraception
Perineal, abomen
Bowel and bladder
Pap smear
Obstetric 
Gynaecological
Past medical history
Family
Social
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2
Q

Examination

A

General
Blood pressure
Abdominal examination->check involution of uterus
Vaginal examination if required

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3
Q

If post-natal woman on progesterone pill complains of dysparaneuria, what should you consider and look for, and recommendations?

A

The relative low estrogen state of post natal and progesterone pill-> atrophic vaginitis.
Can use estrogen cream twice a week.

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4
Q

When can transition to COCP be done

A

Weaning from breast feeding

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5
Q

Advice about progesterone only pill

A

Thins endometrium
Thick cervical mucus
Altered fallopian tube transport
Inhibits sperm motility and implantation

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6
Q

Advice about the etonogestrel implant

A

Plastic rod inserted by practitioner. Lasts for 3 years. Releases steady dose of etonogestrel which inhibits LH->early follicular development and estrogen production occurs, but without ovulation. PI of 0.09
Most women become amenorrheoic but some will have irregular and unpredictable bleeding

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