PPT-Treatment Considerations in Antenatal and Postpartum Psychiatric Illnesses

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. 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;. Assessment. First Antenatal . Assessment. Once pregnancy suspected, the women should seek prenatal care to promote a healthy outcome.. The assessment process begins at the initial prenatal visit and continues throughout the pregnancy.. An Update . for Clinicians. P. Lynn Ouellette MD. . Goals of this Presentation. Why the focus on “perinatal” “maternal” . p. sychiatric illness?. What are the implications for WOMEN?. What the implications for CHILDREN?. Emergency Landing. True story.. August . 24, 2015. Madrid, Spain. . A woman accompanies her pilot husband on their own plane. . The husband blacks out mid-flight. . The woman, having never flown before, is barely able to read the compass... flying above clouds. . Perinatal Practicum . Common postpartum complications. Postpartum hemorrhage. Hypertensive disorders. Infection. Venous disorders. Postpartum mood disorders. Amniotic fluid embolism. Postpartum hemorrhage. Felipe A. Medeiros. Assistant Professor. Department of Anesthesiology. The University of Texas medical Branch. March 14. th. , 2016. Overview. Severe bleeding is the single most significant cause of maternal death . Fourth Trimester. Begins immediately after childbirth. Puerperium. —. first 6 weeks after birth. Close observation. —. identify hemorrhage and complications during first critical hour. Ongoing education and support. silver cars. Insert your custom text here. Insert your custom text here.. Mental Illnesses Are OK. Insert your custom text here.. Stop The Silence – Make It OK. Learn What to Say to Make It OK. Insert your custom text here.. Woman and her baby. Sarah Gopman, MD. Associate Professor. Dept. of Family and Community Medicine. University of New Mexico. July 1, 2015. Learning/Practice Objectives. Screen for and treat postpartum depression. Antenatal Care . T. he health care of pregnant women. . The care is aimed at detecting problems.. Once problems are detected they can be addressed.. Interventions during pregnancy can have beneficial effects later in life. . Pregnancy for women with complex needs. Maternity service update. Antenatal VTE assessment. Dr Lauren Ward – CCG clinical lead for preconception and antenatal care. Background – venous thromboembolism. A Quality Improvement Toolkit. . British Association of Perinatal Medicine . In collaboration with the . National Neonatal Audit Programme. September 2020. To be used for staff education in conjunction with the Antenatal Optimisation Toolkit. 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. .. Today we will…. Develop . understanding . of illness and . disability. Recognise. the difference between . long- . and . short-term illness. Describe. different medical conditions. Success criteria.