Postpartum/Lactation Flashcards
By 12 hours post delivery, the fundus is where?
At the level of the umbilicus
By ______ weeks, the fundus is no longer palpated abdominally.
2 weeks
By ______ weeks, the fundus returns to slightly larger than the pre pregnant size.
6 weeks
Immediately after delivery, the fundus contracts and is located where?
Between the umbilicus and symphysis pubis
Lochia serosa is noted what days postpartum?
14-21 days
By day ____, the cervix dilation is down to ___cm.
day 7, 1 cm
By ____ weeks, the cervix is no longer dilated.
4 weeks
By when during the postpartum period does rugae return?
3-4 weeks
By when during the postpartum period does the vaginal epithelium regenerate?
6-10 weeks
Cardiac output does what during the initial hours postdelivery?
Increases 60-80%
At what point during the postpartum period does cardiac output normalize?
by 2 weeks
Generally, ovulation occurs ___ to ___ days after weaning.
14-30 days
Can the HPV vaccine be given to a breastfeeding mother?
Yes
What are the five stages of grief according to the Elizabeth Kubler Ross model?
Denial, anger, bargaining, depression, acceptance
When does the non-breastfeeding woman likely return to ovulation?
around 39 days PP
A post void residual volume of >____mL is c/w a diagnosis of urinary retention PP?
> 150mL
Postpartum fever is defined as >_____ twice during postpartum days 2-10.
100.4
What is the gold standard treatment for uterine infection/endometritis?
Clindamycin and gentamicin (vanc can be added if staphyloccus aureus is suspected)
General malaise/flu-like symptoms, tachycardia, abdominal pain and malodorous lochia could be c/w a diagnosis of what?
Endometritis
ACOG definitions of postpartum hemorrhage?
EBL >1000mL regardless of route of delivery OR blood loss accompanied by signs/symptoms of hypovolemia within 24 hours of birth
What is the most common cause of primary PPH?
Uterine atony
Some causes (4) of secondary PPH would be?
Sub-involution, retained products of conception, infection, coagulation defects
Sebaceous glands that provide protective secretion and lubrication to the nipple are called what?
Montgomery tubercules
Early pregnancy to third day postpartum is lactogenesis what?
Lactogenesis 1
Lactogenesis that begins between 7 and 14 days PP is which one?
Lactogenesis 3
Lactogenesis during days 2-4 PP is which one?
Lactogenesis 2
The second stage of lactogenesis is initiated by (3 things)?
Delivery of placenta, decrease in progestin hormone concentration and increase in prolactin hormone concentration
What does milk supply depend on during lactogenesis 3?
Supply-demand
Which hormone stimulates milk production?
Prolactin
Which hormone is responsible for the let down reflex?
Oxytocin
What antibiotics are first line treatment for mastitis?
Dicloxacilling or flucloxacillin/ Cephalexin (Keflex)
What organism most often causes a breast abscess?
S. auerus
