OTHER PUERPERAL INFECTIONS:
a. Endometriasis: it is the infection of the endomerium or deciduas with extension into the myometrium and perimetrial tissues.
b. Pelvic abscess: It is the collection of pus within the pelvis. The cause may be septic procedure during labour or preexisting STI.
c. Peritonitis: It is the infection of the peritoneum.
d. Tetanus: It is an infection caused by the bacteria clostridium tetani. It is common in unsupervised septic delivery at home.
3. BREAST PROBLEMS
These are conditions affecting the mammary glands which can interfere with breastfeeding.
a) sore/cracked nipples: it is a condition in which the nipples develop fissures and become sore and painful.
b) Breast engorgement: it is a condition which occurs when the breast milk is not sufficiently emptied leading to accumulation. The breast is enlarged, painful and tender.
c) Retracted/inverted nipples: it is a condition in which the nipples are below the level of the skin surface i.e. does not protrude beyond the areola surface and breast feeding becomes difficult.
d) Breast Abscess: it is a localized collection of pus in the breast which can be very painful and tender. It usually follows acute mastitis.
e) Mastitis: it is the inflammation of the breast tissues, usually due to bacterial infection which could occur in the puerperal period and can interfere with lactation.
OTHER MEDICAL CONDITIONS IN THE PUERPERIUM
Postpartum aneamia
Sickle cell disease
Postpartum eclampsia
Postpartum depression and psychosis
6.5 DANGER SIGNS IN THE NEWBORN
1. Difficulty in breathing
2. Convulsions, spasm, loss of consciousness or arching of the back
3. Cyanosis
4. Fever
5. Hypothermia
6. Heamorrhage
7. Jaundice
8. Pallor
9. Diarrhoea
10. Persistent vomiting or abdominal distention
11. Poor suckling or not feeding well
12. Pus or redness of the umbilicus, eye, or skin
13. Swollen limps or joints
14. Floppiness
15. Lethargy
Test Items
Identify the time for post natal visits and describe the care provided to be provided
STUDENTS’ ACTIVITY
Topic – Postpartum Care
Learning outcome; the students will be able to;
Define Postpartum
State the objectives for postpartum care
Describe the care during postpartum
Discuss the Postpartum complications
Task; Brainstorm and make a comprehensive note on how to manage danger signs during pregnancy, labour and delivery and complications during the postpartum period