Postpartum care and complications

Question 1

What to give for postoperative pain and cramping?

Answer 1

opiods for pain and NSAIDS for cramping and pain.

Question 2

C-section infection prophylaxis?

Answer 2

1st or 2nd gen cephalosporins

Question 3

Postpartum preventive medications:

Answer 3

• pertussis vacinnation
• measles, mumps and rubella vaccine
• Rhogam (if mother is RH negative)

Question 4

Sterilisation options?

Answer 4

tubal ligation and vasectomy (less invasive)

Question 5

other contraception for those who do not want sterilisation?

Answer 5

long-acting reversible cotnraception (LARC) of an intrauterine device (IUD) or an implantable protestin.

Question 6

Define postpartum hemorrhage:

Answer 6

blood loss exceeding 500 ml in vaginal delivery and 1000 ml in C-section.

Question 7

Common causes of postpartum hemorrhage:

Answer 7

uterine atony, placenta accreta,cervical laceration, vaginal laceration, and retained POCs

Question 8

How much blood loss do the mother have to loose to get coagulation therapy?

Answer 8

After loss of 2-3L

Question 9

4 Ts?

Answer 9

Tone, trauma, thrombi and tissue

Question 10

If patient has a large drop in hematocrit, what to look for?

Answer 10

Vaginal wall hematoma