Pueperium - Postpartum hemorrhage, Puerperal pyrexia, Postpartum psychiatric problems

Question 1

Postpartum hemorrhage

Definition

Answer 1

*500mL for both Vaginal and C/S delivery

Question 2

PPH

Causes

Answer 2

Question 3

PPH

Assessment

Answer 3

Question 4

PPH

Risk factors

Answer 4

Question 5

PPH

Intrapartum management

Answer 5

Anticipating PPH:
- Blood grouping in ALL pts when booked or on admission
- T/S + 16G IV catheter at onset of labour if high-risk of PPH

Active management of 3rd stage of labor is advocated to ↓risk of PPH
- use of uterotonic agent
- early clamping of umbilical cord
- controlled cord traction (CCT) for delivery of placenta

Question 6

Syntometrine

• Route of administration
• MoA
• S/E

Answer 6

Question 7

PPH

Choice of oxytotic drugs in vaginal delivery

Answer 7

Question 8

PPH

Choice of oxytocic drug in C/S

Answer 8

Question 9

PPH

Emergency management and resuscitation

Answer 9

Question 10

Uterine atony

• Uretonic agents types (not routine drugs for all patients)
• MoA
• Route of administration

Answer 10

Question 11

RPOG

Management

Answer 11

Question 12

Lower genital bleeding

Management

Answer 12

Question 13

PPH

Alternative treatment options apart from uretonic agents

Answer 13

Question 14

PPH

Fluid therapy and transfusion options

Answer 14

Question 15

Secondary post-partum hemorrhage

Causes

Answer 15

Question 16

Difference between return of menses and secondary PPH

Answer 16

Question 17

Secondary PPH

History taking questions and P/E

Answer 17

Question 18

Secondary PPH

Management options

Answer 18

Question 19

Secondary PPH

Management flowchart

Answer 19

Question 20

Puerperal pyrexia

• Definition
• Causes

Answer 20

Question 21

Puerperal pyrexia

Risk factors

Answer 21

Question 22

Puerperal pyrexia

Mangement

Answer 22

Question 23

Post-partum endometritis

Risk factors
Typical pathogens

Answer 23

Question 24

Postpartum endometritis

Clinical presentation

Answer 24

Question 25

Postpartum endometritis Management

Answer 25

Question 26

Postpartum pyrexia - Breast causes and management

Answer 26

Question 27

Puerperal pyrexia due to urinary tract infection - Pathophysiology, Mibi, Risk factors, S/S

Answer 27

Question 28

Postpartum pain - Causes - Management

Answer 28

Question 29

Perineal wound infection S/S Mx

Answer 29

Question 30

Post-partum urinary retention Causes Management

Answer 30

Question 31

Post-partum urinary incontinence Causes Management

Answer 31

Question 32

Post-partum bowel dysfunction Types of bowel dysfunction and causes

Answer 32

Question 33

Obstetric palsy Causes S/S Management

Answer 33

Question 34

Symphysis pubis diastasis S/S Management

Answer 34

Question 35

Postpartum psychiatric problems Causes Spectrum of disorders

Answer 35

Question 36

Postpartum depression Screening Difference with postpartum blues

Answer 36

Question 37

Postpartum blues S/S Timing Approach

Answer 37

Question 38

Postpartum depression Risk factors S/S Course Management

Answer 38