Postpartum

Question 1

What are the leading causes of infertility, chronic pelvic pain, & intestinal obstuction?

Answer 1

• Postop intra-abdominal & pelvic adhesions

Question 2

What should you observe during a scar assessment?

Answer 2

• exact location of incision/scar
• length of incision/scar
• skin integrity

Question 3

What should you do during palpation/testing of scar assessment?

Answer 3

• point tenderness
• density & mobility of scar & surrounding tissue

Question 4

How long should one do a Cesaren scar massage?

Answer 4

5-15 min/day as tolerated

Question 5

Where is the perineum located?

Answer 5

Area between vagina and anu

Question 6

What is the function of the perineum?

Answer 6

supports & continence & sexual function

Question 7

How long after birth would you wait to begin perineal scar massage?

Answer 7

6 weeks postpartum

Question 8

How often should a perineal scar massage be done?

Answer 8

5 min every 2-3 days per tolerance

Question 9

How long does it take for urinary incontinence for resolve postpartum?

Answer 9

3 months after childbirth

Question 10

What are the risk factors of developing urinary incontience?

Answer 10

• develops during pregancy
• prolonged second stage ‘pushing’ of labor
• operative vaginal birth

Question 11

What is a 3rd degree tear during vaginal birth?

Answer 11

up to external anal sphincter

Question 12

What is a 4th degree tear during vaginal birth?

Answer 12

all the way through the external anal sphincter

Question 13

What is diastasis recti?

Answer 13

widening & thinning of linea alba

Question 14

How is diastasis recti diagnosed?

Answer 14

• IRD (inter-recti distance)