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OBGYN Clerkship > Postpartum > Flashcards

Flashcards in Postpartum Deck (16)
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1
Q

true CI to breastfeeding

A

HIV and HBV

2
Q

what OCPs can be used when breastfeeding?

A

progesterone only

COC can be used 4-6 wks postpartum

3
Q

how many mls of blood is lost in a typical SVD and C/S

A
SVD = >500ml
C/S = >1000
4
Q

what are the common causes of postpartum hemorrhage?

A

consider placenta accreta and 4 Ts:

  1. Tone (uterine atony, MCC)
  2. Tissue (retained POCs)
  3. Trauma (cervical or vaginal lacerations, uterine rupture, uterine inversion)
  4. Thrombin (bleeding d/o)
5
Q

treatment for uterine atony

A

Tx IV oxytocin + bimanual uterine massage (1st line), methylergonovine (c/i with HTN), carboprost (c/i with asthma)

6
Q

what are RF for uterine atony

A

tocolytics, increased uterine size (multifetal gestation, polyhydramnios, macrosomia)

7
Q

usually w/ PP hypovolemia; presents as acute cessation of lactation

A

sheehan syndrome

pituitary infarction

8
Q

causes of postpartum fever

A
consider endometriitis, acute mastitis, and the 5 Ws:
Wind (atelectasis POD #1)
Water (UTI POD #3)
Walking (DVT POD #5)
Wound infx (POD #7+)
Wonder drug (drug-induced fever)
9
Q

polymicrobial infx → fever, uterine tenderness,
foul-smelling lochia

dx and tx

A

endometritis

clinda+ gentamicin

10
Q

breastfeeding women get Staph/Strep infection
through cracks in nipple w/ yellowish discharge

dx and tx

A

acute mastitis

dicloxacillin, do NOT stop breast feeding

11
Q

abx for postpartum UTI

A

cipro or bactrim

12
Q

pain, swelling, erythema, heat at incision site

dx + tx

A

wound cellulitis

bactrim or keflex (cephalexin)

13
Q

separation of incision site → salmon-colored fluid

soaking dressings

A

wound dehiscence

14
Q

3 types of postpartum mood disorders

A

blues (30-70%), depression (10-20%), psychosis (0.1%)

15
Q

DOC for postpartum depression

A

sertraline

16
Q

when should postpartum blues resolve

A

day 10