PPT-Improving Immediate Use of Postpartum LARCs

William M Sappenfield MD MPH CPH Director Florida Perinatal Quality Collaborative The Chiles Center at the College of Public Health University of South Florida 2 Vision All of Floridas mothers and infants will have the . Let’s Talk Effectiveness, Safety, and Satisfaction. Candace Lew, MD, MPH. May 27, 2014. LONG-ACTING REVERSIBLE CONTRACEPTION. LARCS. INTRAUTERINE DEVICES AND SUBDERMAL IMPLANTS. EFFECTIVENESS. IUDs: Copper-bearing . POSTPARTUM HEMORRHAGE “PPH”. Postpartum hemorrhage is defined as blood loss in excess of 500 . mL. at the time of vaginal delivery.. . There is normally a greater blood loss . following delivery by cesarean section;. Dr Violet Okech- Helu. Department of Mental Health, KNH. Email:violet.okech@gmail.com. Postpartum Depression: The Facts. Depression is one of the commonest, treatable yet undiagnosed mental health disorders with a HUGE impact on bio-psycho-social functioning.. Sarita Sonalkar, MD, MPH. Assistant Professor, Obstetrics and Gynecology. University of Pennsylvania, Philadelphia, PA. Mary Lyn . Gaffield. , PhD. Scientist, WHO Department of Reproductive Health and Research. Lisa Goldthwaite, MD, MPH. Paul . Blumenthal, MD, . MPH. Stanford . University . Division . of Family Planning Services and Research. Kristina . Tocce. , MD, MPH. The University of Colorado Division of Family Planning. –. A . Long Term Problem or a Transient Condition. ?. Noa. . Mevorach. . Zussman. , . Miremberg. . Hadas. , Michal . Kovo. , Jacob Bar, Alexander Condrea, . Shimon . Ginath. Aim. To . compare long term urinary, fecal and prolapse related symptoms . Anita . L. Nelson, MD. Harbor-UCLA Medical . Center. Contemporary Forums . Conflict of Interest Disclosure. Anita L. Nelson, MD. Grants/. Research. Bayer, Merck, Pfizer, Teva. Honoraria/. Speakers Bureau. Ben Hartley MS, RD, CSP. ACOG Committee on Obstetric Practice Committee Opinion . June 2016. . June . 2016 . . Committee Opinion . - Optimizing Postpartum Care. Collaboration:. ACOG . Committee on Obstetric Practice. APM Resident Education Curriculum. Christina L. . Wichman. , DO, FAPM. Associate Professor of Psychiatry and Behavioral Medicine. Medical College of Wisconsin. Updated. Fall 2013. Christina . Wichman. WOMEN. Project Overview. Principal Investigator: Afshan Hameed, MD, FACOG. UCI Co-Investigators: Heike Thiel de Bocanegra, PhD, MPH. Brian Crosland, MD. UCSD Co-Investigator: Maryam . Tarsa. , MD, MAS. Ice packs. Sitz. bath. Peri. bottle. Wipe front to back. Change your pad every time you urinate. Witch hazel and Tucks pads. Postpartum Bleeding. Discharge can last up to 6 weeks. Pelvic rest for 6 weeks. MEDICAL . TREATMENT. . H. : . H. elp. .. A. : . A. ssess. and . R. esuscitate. .. E. : . E. tiology. ( 4“T” ).. M. : . M. assage. . uterus. .. O. :. . O. xytocin. . infusion. (. E. . Long Acting Reversible Contraception (LARC). . - All are compatible with breastfeeding. - 99% effective . - Only Medicaid patients may receive LARCs inpatient. . Intrauterine Device (IUD). - Can insert immediately postpartum or as soon as 2 weeks postpartum. Donna D. Johnson, MD. HYPERTENSIVE URGENCY vs EMERGENCY. Urgency: BP > 180/110 (220/120) with no end organ damage. Emergency: Hypertension associated with end organ damage. Pulmonary edema . Cardiac ischemia .