postpartum 6 week maternal check

Question 1

questionnaire used to quantify postnatal depression risk

Answer 1

edinburgh postnatal depression scale (EPDS)

Question 2

what does the edinburgh postnatal depression scale measure? What is the maximum score? What score indicates likely depressive illness?

Answer 2

• identifies patients at risk of perinatal depression
• max score 30
• score above 13 suggests depressive illness

Question 3

6 week postnatal maternal check - checklist of items to cover

Answer 3

• pregnancy issues (blood pressure, gestational diabetes)
• home support
• tiredness, fatigue
• screen for depression risk (EPDS)
• breastfeeding or diet status
• mode of delivery, any issues (c-section check scars, vaginal check episiotomy)
• incontinence or bowel issues
• on-going discharge (lochia normal)
• contraception status
• update vaccination status
• update CST

Question 4

define lochia

Answer 4

normal mix of blood and mucus discharge, per vaginal
lasts 4-8 weeks
can be red blood loss in first 2-12 days

Question 5

secondary postpartum haemorrhage - ddx (6)

Answer 5

lochia
retained products
endometritis
uterine atony
haematoma
coagulation disorder

Question 6

effectiveness of lactational amenorrhoea as a contraceptive in first 6 months postpartum

Answer 6

97%

Question 7

when can COCP can be commenced in a breastfeeding mother?

Answer 7

after 6/52

- as per UKMEC guidelines

Question 8

management of blocked breast ducts (no infection)

Answer 8

breast tissue massage or vibrational devices