Task 1: What is your experience?
Task 1a: Please seat yourself on the spectrum of
experience in 6 week post partum care. Use the pictures
on the spectrum to help you. Consider your clinical and
personal experience.
Task 1b: As you are seated, discuss the following
questions with those seated around you:
1. What experience do you have?
2. How does your experience influence your interaction
with your post partum patient? Consider the positive and
negative.
Task 1c: We will share a sample in the large group.
Task 1: What is your experience?
1.What experience do you have?
2.How does your experience influence
your interaction with your post partum
patient? Consider the positive and
negative.
Caring for the Post Partum
Patient
Amanda Cuda, MD
Objectives
• Explored our experience with PP care
• Learned guidelines for routine PP visit
• Analyzed evidence for recommendations
• Typed script for counseling at the PP visit
Take Home
Inspiration
Guidelines
Script
Timing the Visit
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Six Weeks
Two Weeks
48 Hour follow up
Lactation consultation
Nursing follow up visits
Medical Complications
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Heavy bleeding
Postpartum endometritis
Urinary incontinence
Thyroid disorders
Hypertensive disorders
High Yield Counseling
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Breastfeeding
Post Partum Depression
Obesity/Diet/Exercise
Contraception and Sexuality
Task 2:
What is in the literature?
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Form groups of 3
Review your article
Choose 3 important facts for a PP visit
Write facts on appropriate dry erase board
Be prepared to share in a large group
Task 3: Write a Script
• Grab your computer, phone, or paper
• Write a counseling script for your post
partum visit
• Use the facts around the room
• Include one community resource
• Take 10 minutes
• We will hear a sample
Task 4: Final assignment
• Create shortcut for your script in Dragon,
AsUType, or Word
• Say it during your post partum visit
• Cut and paste into your notes
Objectives
• Explore our experience with PP care
• Learn guidelines for routine PP visit
• Analyze evidence for recommendations
• Type script for counseling at the PP visit
Questions that remain?
What is the association between breast
feeding and post partum depression?
What is good timing for a post partum visit?
Join the research!
References
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Blenning CE, Paladine H. An Approach to the Postpartum Office Visit. Am Fam
Physician. 2005 Dec 15;72(12):2491-2496.
Wright etal. Acceptance and Compliance with Postpartum Human
Pappilomavirus Vaccination.
Watkins etal. Early Breastfeeding Experiences and Breastfeeding Experience.
Obstet Gynecol. 2011 Aug;118(2 Pt 1):214-21.
Dennis CL, McQueen K. The relationship between infant-feeding outcomes and
postpartum depression: a qualitative systematic review. Pediatrics. 2009 Apr;
123(4): e736-51).
ACOG committee opinion. Exercise during pregnancy and the postpartum
period. Number 267, January 2002. American College of Obstetricians and
Gynecologists. Int J Gynaecol Obstet 77(1): 79-81.
www.womenshealth.gov