Postpartum Care — Flashcards

Flashcard 21: In _____ Placenta, accessory lobe can be retained causing subinvolution, sepsis, post-partum haemorrhage, and polyp formation.

Answer: Succenturiate

Flashcard 22: The risk of developing puerperal sepsis is _____ with a caesarian section when compared with vaginal delivery.

Answer: more

Flashcard 23: The most important risk factor for the development of puerperal sepsis is the _____

Answer: route of delivery 

Flashcard 24: Depending upon the amount of blood loss, PPH can be, minor (_____L).

Answer: 1

Flashcard 25: If a perineal tear (e.g., 2nd degree) is not repaired immediately due to infection, or if the repair dehisces, **secondary suturing** is typically performed _____ after delivery (once the wound is clean).

Answer: 1–2 weeks (Secondary suturing)

Extra: There are different timings for perineal repair depending on the clinical scenario: • **Primary Repair:** Performed immediately (or within 24 hours) after delivery. • **Secondary Suturing:** Performed **1–2 weeks** after delivery if the initial repair dehisces or was postponed due to infection (done once the wound is clean and granulation tissue appears). • **Delayed Repair:** Performed **3 months** after delivery if the primary repair window was missed or if a complex repair (like a 3rd or 4th-degree tear) fails, allowing inflammation to fully resolve and tissues to become mobile.

Flashcard 26: The most common route of spread of puerperal sepsis is _____

Answer: Lymphatics

Flashcard 27: The commonest obstetric palsy during puerperium is _____

Answer: foot drop

Flashcard 28: _____ milk is secreted 3-4 days until 2 weeks after birth

Answer: Transitional

Flashcard 29: The most common cause of puerperal sepsis is _____

Answer: anaerobic streptococcus

Flashcard 30: Complete perineal tears that were not repaired in the first 24 hours should be operated on _____ after delivery.

Answer: 3-6 months (time)