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Gain insights into postpartum pharmacotherapy with focus on uterine involution, assessing fundus, managing hemorrhage, and recognizing danger signs. Learn about postpartum infections, sequelae of childbirth trauma, and types of fistulas. Educational lecture by N. Petrenko, MD, PhD.
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Pharmacotherapy in postpartum period Lecture 15 N. Petrenko, MD, PhD
Routine care for the postpartum woman: Educate about danger signs (1)
Routine care for the postpartum woman: Educate about danger signs (2) Severe abdominal pain
Routine care for the postpartum woman: Educate about danger signs (3)
Routine care for the postpartum woman: Educate about danger signs (4)
Routine care for the postpartum woman: Educate about danger signs (5)
Postpartum Hemorrhage Etiology and risk factors (2) Lacerations and trauma • Unplanned • Vaginal/cervical tear, • surgical trauma • Planned • Cesarean section, • episiotomy
Trauma-Second most common cause of early postpartum hemorrhage
Postpartum Hemorrhage Etiology and risk factors (3) 14 of 34
Coagulationdisorders Acquired DIC, dilutionalcoagulopathy, heparin Congenital Von Willebrand's disease
Thromboembolic DiseaseHoman’s Sign Press down gently on the patient’s knee (legs extended flat on bed) ask her to flex her foot (dorsiflex)
Postpartum InfectionsMastitis Puerperal Mastitis usually caused by common skin bacteria particularly staphylococcus being introduced into the ductal system through
Types of Fistulas That May Develop in Vagina, Uterus, and Rectum 37 of 34