Postpartum Recovery & Teratogens

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Questions and Answers

A breastfeeding mother can expect ovulation to return approximately how long after delivery, assuming exclusive breastfeeding?

  • 3-4 months.
  • 6 months. (correct)
  • 6-8 weeks.
  • Immediately after cessation of lochia.

Which contraceptive method is explicitly stated as an option for postpartum contraception?

  • Progesterone-only pills. (correct)
  • Estrogen-based birth control pills.
  • Barrier methods.
  • Combined oral contraceptives.

If a non-breastfeeding mother wants to know when she can expect her menstrual cycle to return postpartum, what is the typical timeframe?

  • 6-8 weeks. (correct)
  • 3-4 months.
  • 6 months.
  • Immediately, within the first two weeks.

What period of abstinence is required after a Cesarean section (CS)?

<p>Even post CS. (C)</p> Signup and view all the answers

Which of the following vaccines is considered teratogenic and should be avoided during pregnancy?

<p>Measles, mumps, and rubella (MMR). (C)</p> Signup and view all the answers

A pregnant woman is prescribed a medication for acne. Which of the following medications would be most concerning due to its teratogenic effects?

<p>Isotretinoin. (C)</p> Signup and view all the answers

Which common medication used to treat acne is also a known teratogen and must be avoided during pregnancy?

<p>Isotretinoin. (C)</p> Signup and view all the answers

A woman with a history of bipolar disorder is planning a pregnancy. Which of her medications would raise the most concern due to teratogenic effects?

<p>Lithium. (C)</p> Signup and view all the answers

Which of the following medications is listed as a teratogenic drug that could pose a risk to a developing fetus?

<p>OHA - oral hypoglycemic agents. (B)</p> Signup and view all the answers

Which of the following infections is NOT explicitly listed under TORCH infections but is considered in the 'others' category?

<p>Varicella-Zoster Virus. (D)</p> Signup and view all the answers

Cytomegalovirus (CMV) infection in a fetus is most likely to result in which of the following complications?

<p>Neurological challenges. (D)</p> Signup and view all the answers

What is the primary mode of transmission for toxoplasmosis, relevant to pregnant women?

<p>Ingestion of undercooked meat or contact with cat feces. (C)</p> Signup and view all the answers

Which of the following fetal effects is a recognized manifestation of congenital toxoplasmosis?

<p>Fetal hydrocephaly. (A)</p> Signup and view all the answers

Which of the following is NOT a typical manifestation of toxoplasmosis?

<p>Erythema migrans. (D)</p> Signup and view all the answers

What are the potential CNS signs observed in newborns with congenital toxoplasmosis?

<p>Microcephaly, seizures, and severe mental retardation. (A)</p> Signup and view all the answers

A pregnant woman is diagnosed with toxoplasmosis. Which of the following fetal complications is LEAST likely to be associated with this infection?

<p>Omphalocele. (C)</p> Signup and view all the answers

Which of the following statements accurately links a TORCH infection with its potential fetal outcome?

<p>Toxoplasmosis: neurological challenges. (B)</p> Signup and view all the answers

How is toxoplasmosis commonly transmitted to humans?

<p>By ingesting undercooked meat or exposure to cat feces (D)</p> Signup and view all the answers

A patient who is trying to conceive asks about the risk of contracting toxoplasmosis. Which recommendation is most appropriate for preventing toxoplasmosis?

<p>Avoiding all contact with cats and thoroughly cooking meat. (A)</p> Signup and view all the answers

Which of the following CNS signs is most indicative of congenital toxoplasmosis in a newborn?

<p>Seizures (A)</p> Signup and view all the answers

Flashcards

Return of Ovulation

6 months for breastfeeding mothers, 6-8 weeks for non-breastfeeding mothers.

Return of Menstruation

3-4 months for breastfeeding mothers, 6-8 weeks for non-breastfeeding mothers.

Contraception - Postpartum

Using pills for contraception decreases milk production as estrogen levels are reduced, non-breastfeeding mothers can use pills for contraception.

Postpartum Abstinence

3-4 weeks after delivery for cervical and vaginal infection abstinence, even longer post C-section.

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Teratogenic Vaccines

MMR, HPV, Polio

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Teratogenic Drugs

Warfarin, ACE inhibitors, Lithium, Thalidomide, Steroids, streptomycin, statin.

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Teratogenic Drugs

Valproic acid, Iodides, Rogaine, Tetracycline, Isotretinoin (acne), OHA (oral hypoglycemic agents).

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TORCH Infections

Toxoplasmosis, Others (HIV, Hepatitis, Syphilis), Rubella, Cytomegalovirus, Herpes

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Toxoplasmosis Cause

Parasite/protozoa (protozoan toxoplasma gondii).

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Toxoplasmosis Transmission

Ingesting infected meat (undercooked), contact with animal droppings (cat feces).

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Toxoplasmosis Manifestations

Maternal: repeated abortion. Fetal: fetal hydrocephaly, chorioretinitis, cerebral calcification. CNS signs: microcephaly, seizures, mental retardation.

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Study Notes

  • Schedule of return to the pre-pregnancy state depends on whether the mother is breastfeeding or not

Onset after pregnancy

  • Ovulation occurs at 6 months for breastfeeding mothers and 6-8 weeks for non-breastfeeding mothers
  • Menstruation occurs at 3-4 months for breastfeeding mothers and 6-8 weeks for non-breastfeeding mothers
  • Contraception through the use of no-pills decreases milk production in breastfeeding mothers, pills are used in non-breastfeeding mothers
  • Abstinence lasts for 3-4 weeks for breastfeeding mothers and even post CS (cesarean section) for non-breastfeeding mothers which involves cervical and vaginal infection

Teratogenic Vaccines

  • MMR
  • HPV
  • Polio

Teratogenic Drugs

  • Warfarin
  • Valproic acid
  • Ace inhibitors
  • Iodides
  • Lithium
  • Rogaine (hair grower)
  • Thalidomide - anti emetic
  • Tetracycline
  • Steroids, streptomycin, statin
  • Isotretinoin (for acne)
  • OHA - oral hypoglycemic agents

TORCH Infections

  • Includes Toxoplasmosis and others like HIV, Hepatitis, Syphilis, Rubella, Cytomegalovirus, and Herpes
  • Cytomegalovirus causes neurological challenges
  • Herpes causes active lesions

Toxoplasmosis

  • Caused by parasite/protozoa (protozoan toxoplasma gondii)
  • Transmitted through ingestion of infected, not well-cooked meat of animals
  • Also transmitted from droppings of animals, specifically cat feces
  • Maternal manifestations include repeated abortion
  • Fetal effects consists of fetal hydrocephaly, chorioretinitis, cerebral calcification
  • CNS signs include microcephaly, seizures, and severe mental retardation

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