Task 1: What is your experience?
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Task 1: What is your experience?Task 1a: Please seat yourself on the spectrum of experience in 6 week post partum care. Use the pictures on the spectrum to help you. Consider your clinical and personal experience.
Task 1b: As you are seated, discuss the following questions with those seated around you:1. What experience do you have?2. How does your experience influence your interaction
with your post partum patient? Consider the positive and negative.
Task 1c: We will share a sample in the large group.
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Task 1: What is your experience?
1.What experience do you have?
2.How does your experience influence your interaction with your post partum patient? Consider the positive and negative.
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Caring for the Post Partum Patient
Amanda Cuda, MD
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Objectives
• Explored our experience with PP care
• Learned guidelines for routine PP visit
• Analyzed evidence for recommendations
• Typed script for counseling at the PP visit
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Timing the Visit
• Six Weeks• Two Weeks• 48 Hour follow up• Lactation consultation• Nursing follow up visits
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Medical Complications
• Heavy bleeding• Postpartum endometritis• Urinary incontinence• Thyroid disorders• Hypertensive disorders
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High Yield Counseling
• Breastfeeding• Post Partum Depression• Obesity/Diet/Exercise• Contraception and Sexuality
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Task 2: What is in the literature?
• Form groups of 3 • Review your article• Choose 3 important facts for a PP visit• Write facts on appropriate dry erase board• Be prepared to share in a large group
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Task 3: Write a Script
• Grab your computer, phone, or paper• Write a counseling script for your post
partum visit• Use the facts around the room• Include one community resource • Take 10 minutes• We will hear a sample
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Task 4: Final assignment
• Create shortcut for your script in Dragon, AsUType, or Word
• Say it during your post partum visit• Cut and paste into your notes
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Objectives
• Explore our experience with PP care
• Learn guidelines for routine PP visit
• Analyze evidence for recommendations
• Type script for counseling at the PP visit
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Questions that remain?
What is the association between breast feeding and post partum depression?
Join the research!
What is good timing for a post partum visit?
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References• Blenning CE, Paladine H. An Approach to the Postpartum Office Visit. Am Fam
Physician. 2005 Dec 15;72(12):2491-2496.• Wright etal. Acceptance and Compliance with Postpartum Human
Pappilomavirus Vaccination.• Watkins etal. Early Breastfeeding Experiences and Breastfeeding Experience.
Obstet Gynecol. 2011 Aug;118(2 Pt 1):214-21.• Dennis CL, McQueen K. The relationship between infant-feeding outcomes and
postpartum depression: a qualitative systematic review. Pediatrics. 2009 Apr; 123(4): e736-51).
• ACOG committee opinion. Exercise during pregnancy and the postpartum period. Number 267, January 2002. American College of Obstetricians and Gynecologists. Int J Gynaecol Obstet 77(1): 79-81.
• www.womenshealth.gov