Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

reproduction and sexual health > puerpartum > Flashcards

puerpartum Flashcards

(56 cards)

Start Studying
1
Q

what is postpartum haemorrhage

A

blood loss ≥ 500ml after birth of the baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is primary PPH

A

occurs within the first 24 hours following delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the most common cause of primary PPH

A

uterine atony

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is secondary PPH

A

occurs from 24hrs to 6 weeks postpartum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the 2 main causes of secondary PPH

A

infection or retained products of conception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is given during ABCDE for PPH

A

tranexamic acid and IV crystalloid fluid bolus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

name some complications of postpartum haemorrhage

A

death, DIC, renal failure, sheehans syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is DIC

A

widespread activation of the coagulation cascade leading to the formation of small blood clots throughout the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the consequence of DIC

A

organ dysfunction due to clots and increased bleeding due to depleted clotting factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is sheehans syndrome

A

pituitary gland damage by ischaemia from severe blood loss and shock after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the 4 main types of causes of PPH

A

tone - uterus fails to contract following delivery
tissue - retention of placental tissue preventing uterus from contracting
trauma - damage during delivery e.g. tears
thrombin - coagulopathies and vascular abnormalities which increase the risk of PPH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

name some vascular abnormalities which increase the risk of PPH

A

placental abruption, hypertension, pre-eclampsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

name some coagulopathies which increase the risk of PPH

A

VWD, haemophilia, HELLP, DIC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

management of uterine atony

A

bimanual compression to stimulate contraction
oxytocin, ergometrine, carboprost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which patients should NOT be given oxytocin or ergometrine

A

patients with hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is endometritis

A

infection/inflammation of the uterine lining following delivery or miscarriage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

name some risk factors for endometritis

A

operative delivery, prolonged labour, retained products of conception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

clinical presentation of endometritis

A

abdo pain, abnormal bleeding and smelly discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

management of endometritis

A

co-amoxiclav +/- surgical evacuation if RPOC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

management of endometritis in penicillin allergic patients

A

co-trimoxazole + metronidazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is mastitis

A

inflammation and swelling of the breast tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

clinical presentation of mastitis

A

unilateral painful and inflamed breast in breast feeding mothers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

management of mastitis

Study These Flashcards
A

ensure complete breast emprying by feeding and expressing, NSAIDs, warm compresses
flucloxacillin if not improving (clindamycin if allergic)

24
Q

investigation for epidural abscess

25
management of epidural abscess
IV antibiotics +/- surgical decompression
26
clinical presentation of epidural abscess
back pain and fever
27
name some risk factors for perineal tears
first time, forceps delivery, large babies
28
how are perineal tears categorised
severity 1-4
29
what is a first degree perineal tear
limited to the superficial perineal skin or vaginal mucosa only
30
what is a second degree perineal tear
extends to perineal muscles and fascia, but anal sphincter is intact
31
what is a third degree perineal tear
tear involving anal sphincters, but anal mucosa intact
32
what is a fourth degree perineal tear
perineal skin, muscle, anal sphincter and anal mucosa are torn
33
which perineal tears require surgical repair under general anaesthetic
3rd and 4th degree
34
name some consequences of 3rd and 4th degree tears
faecal incontinence, urinary incontinence, dyspareunia
35
name some red flags for referral to a specialist perinatal mental health team
recent change in mental state or new symptoms new thoughts or acts of violent self harm new or persistent expressions of incompetency or estrangement from their baby
36
when is mental health screened for during pregnancy
booking appointment
37
what is tokophobia
pathologically extreme fear of childbirth/pregnancy
38
what are the 2 types of tokophobia
primary: someone who has never given birth secondary: following a previous traumatic birth
39
what are the baby blues
transient mood disorder manifesting at around day 3
40
management of the baby blues
resolves in 2 weeks without medical intervention
41
clinical presentation of the baby blues
tearfulness, anxiety or irritability, feelings of being overwhelmed, insomnia, fatigue, appetite changes
42
when does postnatal psychosis usually develop
within the first 2 weeks following childbirth
43
name some risk factors for postnatal psychosis
bipolar disorder, previous history, family history
44
what delusion is commonly associated with postnatal psychosis
capgras delusions - someone has been replaced by an imposter who looks physically the same
45
clinical presentation of postpartum psychosis
paranoia, delusions, hallucinations, confusion
46
management of postpartum psychosis
urgent admission to a mother and baby unit
47
what is postpartum depression
depression that develops any time up to one year after the birth of a baby
48
name some risk factors associated with postpartum depression
history of mental health, low socioeconomic status, lack of social support
49
clinical presentation of postnatal depression
persistent low mood and energy levels, poor appetite, sleep disturbance, concerns related to bonding with the baby
50
screening tool used for postnatal depression
edinburgh postnatal depression scale
51
conservative management of postpartum depression
CBT or interpersonal therapy
52
medical management of postpartum depression
antidepressants
53
first line antidepressant in the perinatal period
sertraline
54
what antipsychotics are usually the safest in pregnancy
olanzapine and quetiapine
55
which antipsychotic should be avoided in the perinatal period and why
clozapine - risk of agranulocytosis to the infant
56
which 2 mood stabilisers must be avoided in the perinatal period and why
lithium - secreted in breast milk valproate - neonatal development problems

reproduction and sexual health (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions