6 months or until period returns breastfeeding as contraception
only protective for ?
Progesterone-only minipill or Depo-Provera For women who decline LARC, who are interested in hormonal modes of contraception, and who are breastfeeding:
at least 4 weeks after delivery to establish an adeq...
N582 EX 2 Study Questions with Answers 6 months or until period returns ✅breastfeeding as contraception only protective for ? Progesterone -only minipill or Depo -Provera ✅For women who decline LARC, who are interested in hormonal modes of contraception, and who are breastfeeding: at least 4 weeks after delivery to establish an adequate milk supply ✅BF women interested in using combination OCPs should wait ? VTE in the postpartum period ✅PP women should also wait 3 weeks after delivery to initiate combined hormonal contraception given the high risk of ? vaginal delivery PPH ✅defined as blood loss exceeding 500 mL cesarean section PPH ✅defined as blood loss greater than 1,000 mL Secondary postpartum hemorrhage (DELAYED/LATE) ✅any significant blood loss after the first 24 hours of delivery and within 12 weeks of delivery 1 to 2 weeks postpartum ✅Peak incidence of PPH? PPH Diagnostics ✅CBC with differential. Coagulation test, if disseminated intravascular coagulation is suspected: prothrombin time, activated partial thromboplastin time, fibrinogen level. Blood cultures to rule out infection. Possible evaluation for a coagulation disorder such as von Willebrand disease. Ultrasound. Human chorionic gonadotropin Heavy red bleeding or slow reddish -brown oozing** Abdominal pain Boggy uterus** Pelvic pain** Tachycardia** Hypotension** Fever Loss of appetite. Fatigue Dizziness. Weakness. Foul odor ✅PPH S/S: PPH causes ✅Vaginal laceration/hematomas Cervical lacerations Uterine atony Retained POCs Placenta accreta Uterine rupture Uterine inversion Uterine atony ✅(leading cause of PPH) - uterus is soft and boggy & large Mastitis ✅focal tenderness, erythema, and differences in temperature from one region of the breast to another engorgement or milk letdown Make sure to differentiate this from mastitis** ✅Lactating women will often have bilaterally warm, diffusely tender, and firm breasts, particularly at the time of ? dicloxacillin is the treatment of choice (Oral AB) ✅Mastitis TX? YES- prevents intraductal accumulation of infected material not breastfeeding should be encouraged to use a breast pump in the acute phase of the infection ✅Should patients be encouraged to continue breastfeeding with mastitis? PREECLAMPSIA ✅The new onset of HTN with proteinuria that develops after 20 week gestation in pregnancy or develops up to 6 months PP in a previously normotensive women ECLAMPSIA ✅Occurrence of grand mal seizures in the preeclamptic patient that cannot be attributed to other causes tonic -clonic in nature HELLP syndrome. ✅Any patient who presents with RUQ pain, epigastric pain, or nausea and vomiting in the third trimester should be seen immediately to rule out? Hemolytic anemia Elevated liver enzymes (ALT/AST) Low Platelets (Thrombocytopenia) ✅H E L P
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