Flashcards in OTHER POSTNATAL COMPLICATIONS Deck (25)
What is the other term for postnatal infection?
Puerperal pyrexia / infection
What is the definition of puerperal pyrexia?
Maternal temperature of 38˚C maintained for 4-6 hours in the first 14 days after delivery
What is the most common infection associated with puerperal pyrexia?
Endometritis caused by Group A Streptococcus
What is the most common cause of maternal death in the UK?
What are the usual sites of infection in postnatal infection?
What are the risk factors for developing endometritis?
Manual removal of placenta
What are the symptoms of endometritis?
Lower abdominal pain
Foul smelling vaginal discharge
What are the risk factors for postpartum infection of the perineum?
What is the antibiotic of choice for postpartum mastitis?
Should a woman being treated for postpartum mastitis continue to breast feed?
What antibiotics should be given for endometritis causing puerperal pyrexia?
Clindamycin and gentamicin until afebrile for more than 24 hours
What is the incidence of post-natal depression?
Around 10% of women
What is the incidence of puerperal psychosis?
What is the incidence of baby blues?
70% of women
What is the normal time frame for the baby blues?
Typically seen 3-7 days postpartum with a peak of 5 days
Who is normally affected by baby blues?
What are the features of the baby blues?
What is the time frame for postnatal depression?
Most cases occur within a month and peak at 3 months
What are the features of postnatal depression?
Similar to depression in other circumstances:
Feelings of inadequacy
Ambivalence towards baby
Reduced or absent libido
What is the time frame for puerperal psychosis?
Onset is usually in the first 2-3 weeks postpartum
What are the features of puerperal psychosis?
Insomnia or early morning wakening
Lability of mood
Lack of insight
Recurrent thoughts of death
How do we manage the baby blues?
How do we manage postnatal depression?
SSRIs can be used if severe
Which SSRIs are recommended in postnatal depression?
Paroxetine (low milk/plasma ratio) or Sertraline
Fluoxetine not recommended because of long half life