Postpartum Mental Health
The definition and length of time of postpartum blues.
What is defined as low mood and mild depressive symptoms that are transient and self-limited. The depressive symptoms include sadness, crying, exhaustion, irritability, anxiety, decreased sleep, decreased concentration, and labile mood. These symptoms typically develop within two to three days of childbirth, peak over the next few days, and resolve by themselves within two weeks of their onset?
What is pale pink/brown discharge lasting 1-2 week
Fever, unilateral tenderness, and possible swelling and erythema of the breast
What is mastitis?
Treatment for breast engorgement if breastfeeding and not breastfeeding.
What is frequent breastfeeding on both breasts is recommended to avoid engorgement.[12] Advise women to use warm washcloths or warm showers or place cold washcloths between feedings to relieve the pain. For women who are not going to breastfeed, encourage them to use cold packs, using firm support of the breasts, take analgesics as needed.
The definition of postpartum depression and length of time to diagnose.
What is depressive symptoms persist beyond two weeks, the diagnostic criteria for postpartum depression are then fulfilled?
The color of lochia alba
Thick white/yellow discharge lasting up to 4-6 weeks
Continue breastfeeding, increase fluids and take antibiotics
What is the treatment for mastitis?
Percent that do not seek postpartum care and reason.
What is 40% and SDOH such as transportation, cultural differences, lack of insurance, lack of adequate family support, low socioeconomic status, poor anticipatory guidance, race, lack of good transitional care management?
A common screening tool to assess for postpartum depression and score indicative of depression
What is the EDPS Edinburgh Postnatal Depression Scale and a score of 13?
Treatment for postpartum vaginal pain?
What is analgesics and cold packs to perineum.
A cause of headaches postpartum from anesthesia?
What is post-dural puncture headaches (PDPH) are also common in the setting of neuraxial blockade (epidurals) for labor, with more than half the patients who had an accidental dural puncture reporting subsequent headaches.[
Other reasons for postpartum bleeding besides uterine atony.
What are retained placental tissue, placental disorders (such as morbidly adherent placenta, placenta previa, and abruption placentae), coagulopathy (increased fibrin degradation products) and uterine inversion.
First line treatment for postpartum depression and how long should therapy continue?
What is SSRI and for 6-12 months minimum?
What is Lactational amenorrhea method alone or other forms of contraception has a failure rate of 2%, but a specific criterion has to be fulfilled. The woman must have to be breastfeeding exclusively on demand, be amenorrheic) i.e., no vaginal bleeding after 8 weeks postpartum), and have an infant younger than 6 months. This becomes less reliable as the infant starts to eat solid foods.
Fever is often the first sign, with uterine tenderness, bleeding, and foul-smelling lochia as additional signs.
What is endometritis?
The cause of patient cramping with breastfeeding.
Risk factors for postpartum psychosis.
What are mental health patient diagnosis of bipolar disorders, or family history of bipolar disorder or other mental health disorders?
The location of the fundus the first 24 hours?
What is 1 cm above or at the umbilicus?
There are risk factors for postpartum excessive bleeding or postpartum hemorrhage
Risk factors for uterine atony include prolonged labor, precipitous labor, uterine distension (multi-fetal gestation, polyhydramnios, fetal macrosomia), fibroid uterus, chorioamnionitis, indicated magnesium sulfate infusions, and prolonged use of oxytocin.
The hormone that causes breast milk production and the hormone that causes breast milk expression.
What are prolactin helps to produce the milk and oxytocin helps with letdown or milk release.