obs and gynae Flashcards Preview

Phase 3A > obs and gynae > Flashcards

Flashcards in obs and gynae Deck (692)
Loading flashcards...
1

Define puerperium

From the delivery of the placenta to six weeks following the birth

2

Stages of the puerperium

Return to prepregnant state
Initiation/suppression of lactation
Transition to parenthood

3

Endocrine changes in puerperium

Decreased placental hormones
Increase in prolactin

4

Name 4 placental hormones

Human placental lactogen
Hcg
Oestrogen
Progesterone

5

How long does it take for progesterone and oestrogen levels to go back to prepregnant levels

7 days

6

What does the muscle of the uterus and genital tract do

Ischaemia, autolysis and phagocytosis

7

What does teh decidua of the puerperium do

Shed as lochia; rubra, serosa and alba

8

Where is the uterus 1 day after delivery

Umbilicus

9

What is lochia rubra

Day 0-4 of bleeding
-blood
-cervical discharge
-decidua
-vernix
-meconium

10

What is lochia serosa

Day 4-10 of bleeding
-more pink
WBC
Exudate
Cervical mucus

11

What is lochia alba

Day 10-28 of bleeding
-clear liquid
-cholesterol
-fat

12

What is Colostrum

Produced instantly.
Colostrum – is very rich in proteins, vitamin A, and sodium chloride, but contains lower amounts of carbohydrates, lipids, and potassium than mature milk.

13

Advantage and disadvantage of colostrum

Doesnt help with putting on weight but does contain WBC

14

How long does lactation suppression take if the mother isnt breast feeding

7-10 days

15

What hormones control lactogenesis

Prolactin (milk production)
Oxytocin (milk ejection reflex)
Insulin and cortisol

16

Where is prolactin secreted from

Anterior pituitary gland

17

Where does prolactin act on

Lactocytes

18

When are prolactin levels highest

More secreted at night
Peak after feed to produce milk for following

19

Which hormone post partum suppresses ovulation

Prolactin

20

Where is oxytocin released

Posterior pituitary gland

21

Where does oxytocin act in breast feeding

Myo epithelial cells

22

What stimulates oxytocin and prolactin release

Baby sucks
= sensory impulses pass from the nipple to brain

23

What helps oxytocin reflex

Sight, sound and smell of baby. Conditioned over time

24

What hinders oxytocin reflex

Anxiety, stress, pain and doubt

25

Advantages of breast feeding for mother

Breast cancer
Ovarian cancer
Osteoporosis

26

What is lactoferrin

High affinity for iron protein. High in colostrum. In breast milk too. Antibacterial qualities.

27

When do you use follow on milk

After 6 months

28

Name some minor postnatal problems

Infection
PPH
Fatigue
Anaemia
Backache
urinary stress Incontinence
Haemorrhoids

29

Name some major postnatal problems

Sepsis
Severe PPH
Preeclampsia
Thrombosis
Incontinence
Breast abscess
Depression

30

Describe PPH presentation

Sudden and profuse blood loss or persistent increased blood loss
Faintness, dizziness or palpitations/tachycardia