Postnala Care And Lactation Flashcards Preview

Jason's MD3 Women's > Postnala Care And Lactation > Flashcards

Flashcards in Postnala Care And Lactation Deck (22):
1

When does uterus return to pelvis?

2 weeks

2

What is Lochia? Normal amount?

Blood and decidua in puerperium period
200-500ml- mean in first month

3

Genitourinary change during preg?

Risk of pyelonephritis and UTIs

4

Hypercoagulable state during preg why?

to clot after bleeding
BUT need Thromboembolic prophylaxis if bad

5

Benefits of breast feeding

Cheaper
Reduction of atopy and infections
Environmentally friendly
Obesity less
IQ
SIDS

6

Benefits for breast feeding for mother?

Less breast cancer
Less ovarian cancer
'Contraceptive' effect

7

Who shouldn't breastfeed?

HIV (in Australia)
Drugs: Anti neoplastic agents, ergotamine, methotrexate, cyclosporine, radio pharmaceuticals

8

Warfarin safe in breastfeeding?

YES.
but terrible in Preg.

9

How to encourage breast feeding?

Early feeding and skin-skin
Encourage demand feeding
Encourage 'rooming in'
Avoid supplemental feeds

10

How to maintain lactation after delivery?

Prolactin and oxytocin (initial)
Supply and demand
Nipple stim

11

Colostrum

Thick, small volume, immunoglobulin rich

12

Low supply? 2 kinds?

Perceived low supply: softer

13

Actual low supply? How to know?

Less than 500g/month,

14

How to treat mastitis?

Fluclox
Analgesia, fluids
Keep feeding (painful)

15

Post natal exam?

General appearance,
Vitals
Uterus invulusion
Wound good
Urinary/BM
Breast nipple symptoms
Allied health

16

Postpartum Probs?

Puerperal sepsis?
>38 within 2 weeks birth

17

Sources of Postpartum sepsis? (Good exam question)

UTI
chorioamnitis
Retained products
Infected wounds
Mastitis
IV sites,
Also: Influenza

18

Secondary postpartum haemorrhage/endometritis

Bleeding more than 24 hours after delivery
Causes: rained products
Fever, tachy
Cultures
U/S Scan

19

How to treat endometritis?

Fluid resus
Broad spectrum Abx

20

Post partum Blues?

Normal, day 3-4, then gets better

21

In absence of breastfeeding, when ovulate?

Ovulate at 8 weeks usually

22

Breast feeding alone

97% effective if: