Postpartum Complications Flashcards
1
Q
Cystitis
A
Bladder infection (common postpartum)
2
Q
Symptoms of hematoma
A
- Abnormal severe pain
- Pressure to perineal area
- Bulging mass, discolored skin
- Inability to void
- Decreased Hb and hematocrit
- Signs of shock
3
Q
Interventions for hematoma
A
- Ice packs
- Fluid balance
- Antibiotics/blood products
- excision
4
Q
Hemorrhage
A
Bleeding of more than 500mls after delivery
5
Q
Interventions for postpartum hemorrhage
A
- Massage funds
- Monitor 5-15 mins for signs of shock
- Estimate blood loss (weigh pads)
- Maintain asepsis
- Administer blood products
- Prepare for surgical intervention
6
Q
Signs of postpartum infection
A
- Fever/Chills
- Anorexia
- Pelvic pain
- Malodorous vaginal discharge
- Increased WCC
7
Q
Interventions for postpartum infection
A
- promote drainage
- isolate baby if infectious
- Increase fluids to 3-4L per day
- Cultures
- Antibiotics
8
Q
Mastitis
A
Inflammation of the breast due to infection
9
Q
Symptoms of mastitis
A
- Localized heat and swelling
- Pain in lymph nodes
- pyrexial
- Flu like symptoms
10
Q
Interventions for mastitis
A
- Good hygiene
- Apply heat/cold
- Maintain lactation
- Pump 4 hourly
- Analgesics and antibiotics
11
Q
Subinvolution
A
Failure of the uterus to return to its normal size
12
Q
Symptoms of subinvolution
A
- uterine pain
- fundus larger than expected
- Increase in bleeding
13
Q
Treatment for subinvolution
A
Administer methergine to contract uterus
14
Q
Superficial Thrombophlebitis
A
Palpable thrombus, bumpy and hard, tenderness and pink area.
15
Q
Femoral Thrombophlebitis
A
Malaise, chills, fever, decreased peripheral pulses, pain, stiffness and swelling.
