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This document discusses several postpartum complications including thrombophlebitis, mastitis, postpartum blues, depression, and psychosis. Thrombophlebitis is inflammation and blood clotting that can occur in the legs due to elevated fibrinogen levels and inactivity after birth. Mastitis is a breast infection caused by bacteria entering through cracked nipples. Postpartum blues are normal feelings of sadness after birth while postpartum depression and psychosis involve more severe mood changes and lost touch with reality requiring medical treatment.
This document discusses several postpartum complications including thrombophlebitis, mastitis, postpartum blues, depression, and psychosis. Thrombophlebitis is inflammation and blood clotting that can occur in the legs due to elevated fibrinogen levels and inactivity after birth. Mastitis is a breast infection caused by bacteria entering through cracked nipples. Postpartum blues are normal feelings of sadness after birth while postpartum depression and psychosis involve more severe mood changes and lost touch with reality requiring medical treatment.
This document discusses several postpartum complications including thrombophlebitis, mastitis, postpartum blues, depression, and psychosis. Thrombophlebitis is inflammation and blood clotting that can occur in the legs due to elevated fibrinogen levels and inactivity after birth. Mastitis is a breast infection caused by bacteria entering through cracked nipples. Postpartum blues are normal feelings of sadness after birth while postpartum depression and psychosis involve more severe mood changes and lost touch with reality requiring medical treatment.
COMPLICATIONS THROMBOPHLEBITIS, MASTITIS, POSTPARTUM BLUES, DEPRESSION AND PSYCHOSIS THROMBOPHLEBITIS
Is inflammation with the formation
of blood clots When thrombophlebitis occurs in the postpartal period, it is usually an extension of an endometrial infection. CAUSES A womans fibrinogen level is still elevated from pregnancy. Dilation of the lower extremity vein is still present. The relative inactivity of the period or a prolonged time spent in deliver or birthing home stirrups. Obesity from increased weight before pregnancy and pregnancy weight gain. The women who smokes cigarettes. Treatment
Ambulation and limiting the time
of women remains in obstetric stirrups Wearing support stockings for the first 2 weeks after birth An exercise program 2 types of thrombophlebitis in postpartum Femoral Thrombophlebitis Femoral Thrombophlebitis With femoral thrombophlebitis, the femoral, saphenous, or popliteal veins are involve. Although site in thrombophlebitis is a vein, an accompanying arterial spasm often occurs. milk legs or phlegmasia alba dolens will occur. Signs and Symptoms Elevated temperature Chills Pain (Severe) Redness in the affected leg about 10 days after birth Skin becomes so stretched it appears shiny and white Homans sign Nursing Management Bed rest with affected leg elevated Moist heat Check for bed wrinkles Provide good back, buttocks and heel care
NEVER MASSAGE THE SKIN OVER THE CLOT
Treatment Analgesics Antibiotics Antcoagulants Thrombolytic agent Pelvic Thrombophlebitis Pelvic Thrombophlebitis Involves the ovarian, uterine or hypogastric vein It usually follows a mild endometritis and occurs late than femoral thrombophlebitis, often around the 14th and 15th day of puerpeum. Signs and Symptoms High Fever Chills General Malaise
INFECTION CAN BE SO SEVERE IT NECROSES THE
VEIN AND RESULTS IN A PELVIC ABSCESS. Management Bed rest Antibiotics and anticoagulants Surgery (if abscess forms) MASTITIS Mastitis Infection of the breast May occur as early as 7th postpartal day The microorganisms usually enters cracked and fissured nipples Causes The organisms that cause mastitis comes from the naso oral cavity of the infant. The infant may have acquired staphylococcus aureus or candidiasis infection while in the hospital. By sucking on a nipple, the infant introduces the organism into the milk. Signs and Symptoms Painful Swollen Reddened High Fever Breast milk becomes scant Management Antibiotics Cold or ice compress to relieve pain Warm, wet compress may be ordered to reduce inflammation Breastfeeding is continued If abscesses forms discontinue breastfeeding however encourage to pump breast POST PARTAL DEPRESSION AND PSYCHOSIS POST PARTAL DEPRESSION is a serious illness that can occur in the first few months after childbirth. It also can happen aftermiscarriageand stillbirth Almost every women notices immediate (1 10 days) post partum feelings of sadness (postpartal blues - typically begin within the first two to three days after delivery, and may last for up to two weeks) after childbirth. In as many as 20 % of women these feelings continue beyond immediate postpartal period. Causes Hormonal shifts History of depression Stress and problems Different expectations between partners Disappointment in the child Signs and symptoms Overall feeling of sadness Increased anxiety about her own or her infants health Extreme fatigue Inability to stop crying Insecurity Psychosomatic symptoms Manic or depressive expressions Management Pregnancy Counseling Counseling Discovery of the problem as soon as symptoms develop Antidepressant therapy POST PARTAL PSYCHOSIS Postpartal Psychosis By definition, psychosis occurs when a person lost contact with reality As many as 1 woman in 500 has enough symptoms during the year after the birth of a child to be considered psychiatrically ill. When illness coincides with postpartal illness it is called postpartal psychosis Causes History of illness Signs and Symptoms Exceptionally sad Denies the child Too disturbed sensory input Management Referral to a professional psychiatric counselor Do not leave alone with her infant
FOR SOME REASON CHILDBEARING IS SUCH A
CRISIS IN THEIR LIVES THAT IT TRIGGERS MENTAL ILLNESS