Pregancy/lactation

Question 1

When should we not use oxytocin for a woman in labor

Answer 1

Placenta Previa(baby head covers whole cervix). Fetus in side ways position, previous high risk c section, prior myomectomy, prior uterine rupture and umbilical cord prolapse

Question 2

What are the side effects of oxytocin

Answer 2

Tachysystole…too much contractions..like more than 5 contractions in 10 minutes. Hyponatremia. Hypertension Hyperbilirubinemia

Question 3

What are clinical uses of oxytocin In pregnant women

Answer 3

Postpartum hemorrhage. Labor dystocia. Stimulate labor before onset or during labor Medical termination

Question 4

What is the first line treatment for breast feeding women who are depressed

Answer 4

SSRI

Question 5

What SSRI are the best for breastfeeding women and why

Answer 5

Paroxetine and sertraline because they have the lowest RID value

Question 6

What is the best treatment for lactating women who are drug abusers

Answer 6

Mathadone

Question 7

What is best treatment for tobacco abusing lactating mother

Answer 7

Nicotine replacement therapy like gums or lozenge

Question 8

What non narcotic medication is recommended for lactating women for pain

Answer 8

Ibuprofen and acetaminophen

Question 9

What opioid is recommended for women who are lactating

Answer 9

Morphine

Question 10

Why don’t we recommend naproxen or other NSAIDs for lactating women

Answer 10

Half life is too long

Question 11

Mention the three different parts of a breast pump

Answer 11

Breast shield, pump and container