Flashcards in Postnala Care And Lactation Deck (22):
When does uterus return to pelvis?
What is Lochia? Normal amount?
Blood and decidua in puerperium period
200-500ml- mean in first month
Genitourinary change during preg?
Risk of pyelonephritis and UTIs
Hypercoagulable state during preg why?
to clot after bleeding
BUT need Thromboembolic prophylaxis if bad
Benefits of breast feeding
Reduction of atopy and infections
Benefits for breast feeding for mother?
Less breast cancer
Less ovarian cancer
Who shouldn't breastfeed?
HIV (in Australia)
Drugs: Anti neoplastic agents, ergotamine, methotrexate, cyclosporine, radio pharmaceuticals
Warfarin safe in breastfeeding?
but terrible in Preg.
How to encourage breast feeding?
Early feeding and skin-skin
Encourage demand feeding
Encourage 'rooming in'
Avoid supplemental feeds
How to maintain lactation after delivery?
Prolactin and oxytocin (initial)
Supply and demand
Thick, small volume, immunoglobulin rich
Low supply? 2 kinds?
Perceived low supply: softer
Actual low supply? How to know?
Less than 500g/month,
How to treat mastitis?
Keep feeding (painful)
Post natal exam?
Breast nipple symptoms
>38 within 2 weeks birth
Sources of Postpartum sepsis? (Good exam question)
Secondary postpartum haemorrhage/endometritis
Bleeding more than 24 hours after delivery
Causes: rained products
How to treat endometritis?
Broad spectrum Abx
Post partum Blues?
Normal, day 3-4, then gets better
In absence of breastfeeding, when ovulate?
Ovulate at 8 weeks usually