Top
20
Doctor insights on: Perineal Care Postpartum

Share
1

1
Emotional recovery time after being?In intensive care unit 2 weeks?

Emotional recovery time after being?In intensive care unit 2 weeks?

Variable: It has been recently recognized that survivors of critical illness often have physical and emotional recovery issues after ICU stay. Post-traumatic stress, memory loss, and weakness are common and can take weeks to months to improve. It is worth discussing these issues when you follow up with your provider. ...Read more

Dr. Linda Bernstein
222 doctors shared insights

Recently Gave Birth (Definition)

Postpartum is a term that means after the "separation of the mother and the baby", or after ...Read more


2

2
Can premature labor and delivery cause infertility at 26 weeks with vaginal delivery?

Can premature labor and delivery cause infertility at 26 weeks with vaginal delivery?

SecondaryInfertility: A person who has one pregnancy and cannot get pregnant a 2nd time is usually not due to the previous 26 week delivery. An incompetent cervix means that the patient got pregnant again. A vigorous scraping at a d & c post partum can cause infertility. ...Read more

3

3
Nursing care at home after epidural hematoma?

Nursing care at home after epidural hematoma?

Depends on how bad: This type of injury can be minor or severe. They may have trouble talking, walking swallowing and thinking. Or they might just have a bad headache. The problems that the epidural caused need to be dealt with. ...Read more

4

4
Are these postpartum episiotomy vaginal scabs normal?

Are these postpartum episiotomy vaginal scabs normal?

Likely yes: After any cut (with stitches or not), the body heals...And that often means a scab. So unless you find it abnormal in another way, it's likely fine. But - ask your obgyn to check you - it will take 5 seconds and make you feel better. Good luck. ...Read more

5

5
5mths postpartum, exclusively breastfeeding. How can PPD (postpartum depression) affect ones sex life?

5mths postpartum, exclusively breastfeeding. How can PPD (postpartum depression) affect ones sex life?

Yes, it can: In fact, it can effect everything and is very worth seeking specialized treatment for. The well-being of your entire family (especially you) is in the balance. It's a common condition w/ elements that come from hormone changes, life demands, emotional intensity of relationships, etc. A good fit w/ an experienced therapist really helps. If meds are needed briefly they'll help select the right one. ...Read more

See 1 more doctor answer
6

6
Cesarean section or vaginal delivery is better ?

Cesarean section or vaginal delivery is better ?

Vaginal: it depends , vaginal is preferred , unless you have contraindications for it i would check with your OB first ...Read more

7

7
Why after hemorrhage and unplanned c hyst would attending let resident close incision with suture?

Why after hemorrhage and unplanned c hyst would attending let resident close incision with suture?

They are learning: Residents are learning their craft from the attending physician. Your attending is involved in every part of the operation, even if the resident is doing the sewing. ...Read more

8

8
Does anyone have postpartum coccyx pain after delivery?

Yes it could happen: During pregnancy your joint get relaxed and stretched out and this will increase with the stress of the delivery and could cause pain in the coccyex. ...Read more

9

9
Does the povider offer vbac (vaginal birth after previous cessarean section)?

Does the povider offer vbac (vaginal birth after previous cessarean section)?

No: Due to a combination of hospital policies and practicing at several hospitals in the community our practice does not feel that we can currently provide for vbac or tolac safely at this time. This may change in the future. ...Read more

See 2 more doctor answers
10

10
What are the differences between subacute care, outpatient care, hospice care, home health care?

What are the differences between subacute care, outpatient care, hospice care, home health care?

Also: Subacute care in many skilled nursing facilities usually entails significant specialized care, like patients on long term ventilators. These patients are too stable for the hospital but because the tracheostomy & vent require constant monitoring and nursing care. If a pt can't be taken off the vent they are usualy transferred to a facility where this type of care is usual. ...Read more

See 1 more doctor answer
11

11
Hospital labor & delivery vs birth center. Which is better and why?

Hospital labor & delivery vs birth center. Which is better and why?

Define Birth Center: I deliver at a birth center which has private rooms, newborn rooming, birth plan receptive... But still offer 24/7 epidural service, full or availability in-house for emergencies, full time peds/neonatologist if needed, and full lab & blood bank services. Most hospital l&d units are emulating birth centers & maintain all support services in case of emergencies. Tour & deliver where you feel safe. ...Read more

12

12
How do primary care providers involve support groups when planning for patient's care?

How do primary care providers involve support groups when planning for patient's care?

Often through social: workers, online communities or through office personnel. Support groups are everywhere and usually free. United Way in my area forms the connection hub to most, but County hotlines are very helpful. Some cities even have special phone lines for available services. San Diego has 211. Some psychologists form their own support groups out of existing patient pools. Be creative. ...Read more

13

13
Could vaginal probiotics during the antepartum period and intrapartum antibiotics at l&d prevent chorioamnionitis and subsequent complications?

Could vaginal probiotics during the antepartum period and intrapartum antibiotics at l&d prevent chorioamnionitis and subsequent complications?

Chorioamnionitis: In general, vaginal probiotics and antibiotics during labor can reduce the risk of chorioamnionitis. If there is a concern based on precious pregnancy outcomes, this questions should be discussed with the treating obstetrician. ...Read more

14

14
Do all hospitals have a neonatal intensive care unit?

Do all hospitals have a  neonatal intensive care unit?

No: Every hospital does have an area to transition babies while they maybe experiencing problems after birth. However, not all hospitals have a neonatal intensive care unit. If you have a prenatal diagnosis that recommends or suggests neonatal care after delivery you should deliver in a hospital with a level one or two nicu. ...Read more

See 2 more doctor answers
15

15
Please help? Is the "post operative room", the same as "intensive care unit" (icu)?

Please help? Is the "post operative room", the same as "intensive care unit" (icu)?

Not necessarily. : A postoperative or post anesthesia unit specializes in care of patients who have recently emerged from anesthesia (and veryrecent surgery). An intensive care unit specializes in high level (intensive) physiologic monitoring, ventilators, and powerful vasoactive medications and sedatives that need to be closely titrated. There can be overlap in some places, but they are separate in others. ...Read more

16

16
How soon after their baby is born do women typically start suffering post-partum depression?

How soon after their baby is born do women typically start suffering post-partum depression?

Most often: Postpartum depression begins in the first 3 months after delivery, but can occur anytime in the first year. ...Read more

17

17
Previous post partum haemorrage and c section, is vaginal birth an option instead?

Previous post partum haemorrage and c section, is vaginal birth an option instead?

Not recommended: Controversy over vaginal birth after c-section has gone from one end of the spectrum (no) to the other (sometimes) . Your OB can determine if you are a candidate for vaginal birth after c-section and if you are your delivery will be very closely monitored and preparation for c-section will be in place in case you need it. The surgical team will be nearby throughout your labor and delivery. ...Read more

18

18
How would a college student become a neonatal intensive care nurse?

How would a college student become a  neonatal intensive care nurse?

Education & training: You would first need to get a degree in nursing (bsn) and become a registered nurse (rn) by qualifying through the state board. Next you need undergo specialty training in neonatal intensive care with several possible routes and certifications including master of science in nursing (msn) with a focus on neonatal nursing and neonatal nurse practioner (nnp). Requirements vary from state to state. ...Read more

19

19
How often does placenta accreta go undiagnosed even after a csection delivery?

How often does placenta accreta go undiagnosed even after a csection delivery?

Placenta accreta: A previously undiagnosed placenta accrete may be diagnosed at the time of a cesarean section. This would occur when the OB is trying to remove the placenta but cannot because it is attached (accreta). On the other hand, if the placenta detaches easily, the uterine cavity is always explored so it would be rare to have an attached placenta left behind but a focal placenta accrete could be missed. ...Read more

Dr. TRUC DAO Dr. DAO
1 doctor agreed:
20

20
Does post partum depression come and go with pregnancies?

Dr. TRUC DAO Dr. DAO
1 doctor agreed:
Does post partum depression come and go with pregnancies?

Ppd: Yes if it is short lasting without consequence and mother receives good support. If mother is known with long lasting depression, then it is not PPD but result of ongoing depression which can be more severe than just ppd. ...Read more