Class 6 Flashcards by Cannon Cameron

Benefits of waiting for the newborn bath?

Thermoregulation: the vernix on the skin of the baby helps them keep their temperature
Skin Conditioning: vernix is good for the newborn skin
Antimicrobial: vernix is the baby’s first line of defense against germs
Assists in breastfeeding: the smell of amniotic fluid is good for the mom and baby

How well did you know this?

Not at all

Perfectly

When can the baby’s body be submerged in water?

After the cord falls off.

How well did you know this?

Not at all

Perfectly

How many babies are circumcised?

30%, mostly in Muslim countries and communities

How well did you know this?

Not at all

Perfectly

What is the American Academy of Pediatrics’ stance on circumcision?

Has potential advantages as well as risks; recent analysis concludes the benefits outweigh the risks

How well did you know this?

Not at all

Perfectly

What are the anesthesia methods for circumcision?

Lidocaine injection, sucralose, and EMLA cream (needs to be on 30 minutes ahead of time to have its full effect)

How well did you know this?

Not at all

Perfectly

What are the benefits of circumcision?

Hygiene, prevention of infection, increased risk of penile cancer if they are not circumcised

How well did you know this?

Not at all

Perfectly

What are the different instruments used for circumcision?

GOMCO, Mogan, Plastibel

How well did you know this?

Not at all

Perfectly

How does parents care for the circumcision?

Fresh wound; put vaseline on it and cover it with gauze. It will naturally go from reddish to healing yellow, then it will start to look normal and dry up.

How well did you know this?

Not at all

Perfectly

Signs of newborn infection?

Fever usually lowers, stops demanding/waking to feed; Fever greater than 100.4, diarrhea, increased heart rate, pneumonia and tetanus

How well did you know this?

Not at all

Perfectly

Meconium aspiration

NRP recommends you do not suction a meconium baby unless they are not vigorous (comes out crying with normaly heart rate and respiratory effort)
If the baby is not vigorous they should not stimulate the baby because they could ingest meconium into the trachea. The baby needs to be deep suctioned through the nose or mouth to prevent pneumonia

How well did you know this?

Not at all

Perfectly

Transient Tachypnea of the Newborn

TTN
Wet lung syndrome
Usually lasts anywhere from 24-72 hours
Tachypnea: increased respirations
Babies born with this usually recover within 3 days of birth
Often babies with TTN will get tired and can give out and stop breathing.
Large, male babies are at increased risk for TTN

How well did you know this?

Not at all

Perfectly

What is postpartum depression more common than?

Gestation diabetes
Preterm labor
Low birth weight
Pre-eclampsia and high blood pressure

How well did you know this?

Not at all

Perfectly

What percentage of women experience post-partum depression

15-20%

How well did you know this?

Not at all

Perfectly

6 things to avoid if you have PPD/Anxiety

Scary stuff
over-shceduled life
Negative thoughts of yourself
Unsupportive people
Procrastination
Self-diagnosing or treating

How well did you know this?

Not at all

Perfectly

6 Surprising symptoms of PPD or Anxiety

Anger
Scary thoughts
Numbness
Insomnia
Physical symptoms
Brain fog

How well did you know this?

Not at all

Perfectly

What are roles of a postpartum doula?

Bridging the gap
Mothering the mother
Support

How well did you know this?

Not at all

Perfectly

How do we define support?

Informational (educational, opening the door rather than pushing them through it)
Emotional/Reassuring support (presence, listening ear, etc.)
Practical Support
The goal is to empower women

How well did you know this?

Not at all

Perfectly

What are benefits of postpartum support?

Lower rates of postpartum depression
More success with breastfeeding
More confident parenting
Fathers feel more confident and involved

Goals of the postpartum doula

Nurture new parents into their role
Build self-confidence in the parents
Diminish the parent’s need for them over time

Care of a cesarean mother

Immediately after: pain management (demerol, morphine), one hour after birth she goes to recovery, has a catheter and IV, more likely to hemorrhage, nausea and cold sweats, chapstick, drowsiness
Incision Care
Extra Breastfeeding support
Reflection Time
Extra assistance: in hospital, at home ICAN

Care of a mother with a loss

Isolation is the most common complaint
Meals are still needed
Rest is still needed
Childcare for their other children
Support from family and friends can be important for up to two years
Drying up the milk

What are the postpartum emotional must haves

Community/Adult time
Self care (Exercise, nutrition, rest, meditation/prayer, yoga)
Asking for help

What are the postpartum physical must haves?

Tucks pads
Stool softener
Breast pads
Preparation H
Sanitary Napkins 
Granny panties
Motrin or afterease
Ice packs or diapers
Boppy
Nursing tanks
Robe

What birth control methods are 99% effective?

Vasectomy
Female sterilization
IUD
Implant

What birth control methods are 92-97% effective?

``` Breastfeeding (until sixth month) Shot Pill Ring Patch ```

What methods are 80-85% effective?

``` Male condom Diaphragm Female condom Cervical Cap Sponge Fertility awareness based methods ```

What methods are less than 85% effective?

Withdrawal | Spermicide

Progestin only mini pill

Good for women who are breastfeeding, over 35, or have history of heart disease or stroke issues: have to be taken at the same time every day

COC (combined oral contraceptives

Different phases: mono, Bi, Tri, Quadra NEgative: specifications regarding what you can do if you miss a pill More physical symptoms Side effects: change in bleeding patterns, headaches, dizziness, nausea, breast tenderness, weight changes, mood swings, acne

Emergency (morning after pills)

Used within 5 days after unprotected sex Preventing or delaying the release of eggs Does not work if a woman is already pregnant

Extended cycle

Eliminates your period so you have little to no bleeding | It doesn't allow the uterus to line as it does in most cycles.

What are points about the pill?

Low doses of progestin and estrogen Prevents the release of eggs from the ovaries Fertility returns once you stop taking the pills Take daily

What women are birth control pills contraindicated for?

Greater than 35 Obese History of heart disease, stroke, heart attacks, liver cancer, breast cancer, smokers, Migraines Risk of blood clots Women are are taking meds: antibiotics, seizure meds, HIV meds, and St. John's wort

What is the patch?

99% effective Weekly patch, 4th week no patch Same side effects and contraindications as the pill

Progestin only injections

The shop or Depo Bleeding changes are a problem Return for injections every 3 months Gradual weight gain Fertility is often delayed Side effects: anaemia due to irregular bleeding, weight gain, headaches, dizziness, abdominal bloating, mood changes, less sex drive What six weeks after birth to get the first dose Issue: Lose of bone density lead to osteoporosis

How long are monthly injectables effective?

3 Years

Implanon

``` Effective for 3 years Immediately reversible Bleeding changes Thickening cervical mucous preventing sperm from entering Preventing release of eggs ABout 4cm long and 2mm in width Usually put underneath the arm Most women stop doing because of the bleeding changes. ```

Copper Bearing Intrauterine Device

Chemical Can be given within 48 hours after birth, or delayed 4 weeks If breastfeeding and monthly period hasn't returned, can have IUD inserted 2 weeks to 6 months after giving birth Watch for anemia

Levonorgesterl Intrauterine Device

``` Hormonal Mirena Effective for 5 years Immediately reversible Suppresses the growth of the lining of the uterus Releases small amounts of progestin Can be inserted 4 weeks after birth Risk: perforation of the uterus ```

What are short term birth control methods?

Condoms, spermicide

What are intermediate birth control methods?

``` Pill Patch Depo Implant (3 years) IUD Copper IUD (10-15 years) Mieran (5 Years) ```

What are long term birth control methods?

Vasectomy Tubal Ligation Essure (device implanted into the tubes

What are older birth control methods?

Diaphragm Cervical Caps Sponge

What is the only method of birth control that protects against HIV/AIDS and STDs?

Male condom.