16 - Obs - The Puerperium - Other puerperium problems Flashcards Preview

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Flashcards in 16 - Obs - The Puerperium - Other puerperium problems Deck (7):
1

Secondary Postpartum Haemorrhage - Due to ? +/- retained ? tissue. Give ?, do ? of retained products of ? (ERPC) if no improvement

endometritis
placental
ABx
evacuation
conception

2

Pyrexia
?, wound, perineal, urine, ? and chest ?, thrombo-?
Do ? and give ?

endometritis
breast
infection
embolism
cultures
ABx

3

Urinary incontinence - ?%
exclude ? and retention. Usually improves with ?. Do urine ? and arrange ?

20%
fistula
time
culture
physiotherapy

4

Urinary retention
-due to ? or delivery, esp if used ?
-? for at least ?hs

epidural
forceps
catheterize
24hrs

5

Faecal incontinence - ?%
-exclude ? fistula, can be due to anal ? or ? ? damage - ass w ? degree tears and ? delivery. Treat with ? +/- ? repair

4%
rectovaginal fistula
sphincter
pudendal nerve
3rd
forceps
physio
sphincter

6

Postnatal depression
-?%
-ID is ? and poor.
-treat with ?, ? and drugs.
-risk of ? most with ? psych illness

10%
difficult
psychotherapy
support
suicide
previous

7

Thrombosis - 0.5%
-major cause of ?
-? if high risk according to formal ? ?
-trt with subcut ????

mortality
prophylaxis
risk assessment
LMWH (Clexane)

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