Postpartum Care and Complications Flashcards
Postpartum Endometritis
–fever, elevated WBC, uterine tenderness
Risk Factors: prolonged ROM, prolonged labor, C-section, intrauterine pressure catheter, fetal scalp electrodes
Type of infection re: bacteria?
Tx: (2 abx)
Postpartum Endometritis
- -polymicrobial infection
- -tx: gentamicin, clindamycin
Immediate newborn care
- drying and warming due to underdeveloped thermoregulatory centers
- vitamin K – purpose?
- silver nitrate in eyes – purpose?
Immediate newborn care
- drying and warming
- vitamin K - to prevent hemorrhagic disease of newborn
- silver nitrate – to prevent neonatal gonococcal opthalmia
Post-partum breast-related Dx:
- bilateral breast fullness, tenderness, and warmth common in first several days post-partum; fever may be present
- unilateral breast pain with isolated firm, erythematous, tender area; fever greater than 38.3
- unilateral breast pain with isolated firm, erythematous, tender area; no fever
- Breast Engorgement
- -normal
- -bilateral breast fullness, tenderness, and warmth common in first several days post-partum; fever may be present - Mastitis
- -unilateral breast pain with isolated firm, erythematous, tender area; fever greater than 38.3
* tx: dicloxacillin - Plugged ducts
- -unilateral breast pain with isolated firm, erythematous, tender area; no fever
Neonatal thyrotoxicosis
- -maternal hx of Graves disease
- -maternal anti-TSH Ab’s cx placenta, stimulate fetus/infant TSH receptors –> increased T3/T4
- -s/s include warm, moist skin; tachycardia; poor feeding; irritability; poor weight gain
Tx? (2)
Neonatal thyrotoxicosis
Tx: methimazole + beta blocker
–self-resolves within a few weeks due to withdrawal of maternal anti-TSH Ab
Post-Partum Hair Loss (Postpartum telogen effluvium)
–common in first few months post-partum
Due to high levels of what hormone during pregnancy?
Post-Partum Hair Loss (Postpartum telogen effluvium)
high E levels during pregnancy –> synchrony of hair growth: hair grows and sheds at same time
