USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

VAGINAL BIRTH AFTER CESAREAN (VBAC) Successful vaginal delivery rate is up to 80% in carefully selected patien ...

EXTERNAL CEPHALIC VERSION External cephalic version consists of externally manipulating the gravid abdomen wit ...

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POSTPARTUM ISSUES ...

LEARNING OBJECTIVES Describe the causes and management of postpartum hemorrhage and fever List the sequence of ...

POSTPARTUM PHYSIOLOGIC ISSUES REPRODUCTIVE TRACT CHANGES Lochia: These are superficial layers of the endometrial decidu ...

URINARY TRACT CHANGES Hypotonic Bladder: Intrapartum bladder trauma can result in increased post- void residual ...

GASTROINTESTINAL TRACT CHANGES Constipation: Decreased GI tract motility because of perineal pain and flui ...

OB TRIAD Impaired Maternal–Infant Bonding Postpartum Day 1 SVD: 1,900-g 31-week-old male in NICU Mom shows no int ...

OB TRIAD Postpartum Blues Postpartum Day 2 S/P SVD of term normal baby Mom cares for baby: tears ...

OB TRIAD Postpartum Depression Postpartum Day 21 S/P SVD of term normal baby Mom does not get out of bed, does ...

OB TRIAD Postpartum Psychosis Postpartum Day 21 S/P SVD of term normal baby Mom exhibits bizarre behavior, hallucin ...

PSYCHOSOCIAL PROBLEMS Bonding: Impaired maternal–infant bonding is seen in the first few days postdelivery. La ...

POSTPARTUM CONTRACEPTION AND IMMUNIZATIONS CONTRACEPTION PLANNING Breast feeding: Lactation is associated with ...

POSTPARTUM IMMUNIZATIONS RhoGAM: If the mother is Rh(D)-negative and her baby is Rh(D)-positive, she should be admini ...

POSTPARTUM HEMORRHAGE Postpartum hemorrhage is vaginal delivery blood loss ≥500 mL or cesarean section blood ...

UTERINE ATONY Uterine atony is the most common cause (80%) of excessive postpartum bleeding. Risk Factors. R ...

LACERATIONS Lacerations cause 15% of excessive postpartum bleeding. Risk Factors. Uncontrolled vaginal delivery ...

RETAINED PLACENTA Retained placenta causes 5% of excessive postpartum bleeding. Risk Factors. Accessory p ...

DISSEMINATED INTRAVASCULAR COAGULATION Disseminated intravascular coagulation (DIC) is rare. Risk Factors. Abru ...