BMC Logo





OBGYN








General Information
Curriculum
Core Competency
Schedules
Evaluation
Research
Protocols
Links

Main

BUMC






OB PGY1/PGY2
Postpartum Care

A. Evaluation of the newborn


1. Perform an immediate assessment of the newborn infant and determine if resuscitative measures are indicated.
2. Resuscitate a depressed neonate:

a. Properly position the baby in the radiant warmer.
b. Suction the nose and mouth.
c. Provide tactile stimulation.
d. Administer positive pressure ventilation with bag and mask.
e. Administer chest compressions.
f. Perform endotracheal intubation and ventilation.

3. Assign Apgar scores.
4. Describe the indications for cord blood gas analysis and interpret the test results.
5. Obtain cord blood for the following purposes:

a. Blood gas analysis
b. Determination of fetal blood type

6. Describe the rationale for administration of topical antibiotics to prevent neonatal ophthalmic infection.
7. Counsel parents on the advantages and disadvantages of circumcision.
8. Perform circumcision under local anesthesia.

B. The puerperium


1. Perform a focused physical examination in postpartum patients.
2. Identify and treat the most common maternal complications that occur in the puerperium:

a. Uterine hemorrhage
b. Infection

(1) Endometritis
(2) Urinary tract infection
(3) Wound infection
(4) Mastitis

c. Wound dehiscence

(1) Abdominal incision
(2) Episiotomy

d. Bladder instability
e. Postoperative ileus
f. Injury to the urinary tract
g. Breast engorgement and abscess
h. Pulmonary embolism

(1) Venous
(2) Amniotic fluid

i.Deep vein thrombosis

3. Provide lactation consultation for patients
4. Recognize and treat postpartum affective disorders:

a. Postpartum blues
b. Postpartum depression
c. Postpartum psychosis

5. Prescribe methods of reversible contraception.
6. Counsel patients about permanent sterilization.
7. Perform postpartum surgical sterilization (see the list of procedures at the end of this unit).
8. Counsel patients regarding future pregnancies.







About BMC | Employment | Disclaimer | BUSM
Copyright © 2000 - 2003 Boston Medical Center