Puerperium, Family Planning Flashcards
What is the interval following delivery for the uterus to involute completely?
4 weeks
Lochia resolves after how many weeks postpartum?
5 weeks
The period of time between 4 and 6 weeks post delivery where maternal changes return to its non pregnant state
Puerperium
What is the shape of the cervix after delivery?
Fish mouth appearance
Contraction of the uterus after delivery of a primigravid woman occurs A. Tonically B. Rhythmically C. Vigorously at intervals D. None of the above
A
Contraction of the uterus after delivery of a multigravid woman occurs A. Tonically B. Rhythmically C. Vigorously at intervals D. None of the above
C
What do you call the lochia during the first few days when it is a bloody discharge?
Lochia rubra
Lochia that has become pale in color, occurring 3-4 days after
Lochia serosa
Lochia alba appears on what day postpartum?
10th day onwards
Which remaining decidua remains intact and becomes the source of the new endometrium?
Decidua basalis
The endometrium becomes fully restored after how many days postpartum?
16th day onwards
Which organism has been implicated in late postpartum hemorrhage?
Chlamydia trachomatis
Secondary postpartum hemorrhage can occur up to how many weeks postpartum?
12 weeks
Which 2 vitamins are lacking in breastmilk and requires supplements?
Vitamin D and K
High in casein, electrolytes, saturated fats
Low in cholesterol cysteine and taurine
Formula milk
In the standard days method of family planning, the window period to avoid intercourse is in which days?
Day 8-19
Women who use standard days method must have regular monthly cycles that ranges from:
26-32 days
Calendar rhythm method involves subtracting how many days from the shortest and the longest cycle?
First fertile day: shortest cycle -18
Last fertile day: longest cycle -11
Temperature rhythm method involves abstaining from intercourse from the 1st day of menses through what day after the increase in temperature?
3rd day
Least effective natural family planning method
Cervical mucus method
Abstinence in cervical mucus method is done from the beginning of menses until what day?
4 days after slippery mucus is identified
Symptothermal method combines which methods
Cervical mucus and temperature rhythm
Injectable progestin prevents pregnancy by which mechanism?
Inhibition of ovulation
Etonorgestrel implants (Implanon) provide contraception for how many years?
3 years
Oral contraceptives prevents ovulation by suppressing
Hypothalamic gonadotrophin releasing hormones and prevents release of FSH and LH
Progestins prevent ovulation by suppressing which hormone?
LH
Estrogen in OCPs prevents ovulation by suppressing what hormone?
FSH
Theoretical action of progestins
Render the endometrium unfavorable for implantation
This hormone in OCP also stabilizes the endometrium which prevents intermenstrual bleeding
Estrogen
When can you start an emergency contaceptive pill?
ASAP within 5 days after unprotected sex
Injectable progestin like Depo-Provera is given every
3 months
Initial DMPA (depo-provera) injection should be given within
1st 5 days of menses
Intrauterine devices prevents pregnancy by
Sterile inflammation within the endometrium
