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.

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.

Caring for the Post Partum Patient

Amanda Cuda, MD

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

Take Home

Inspiration

Guidelines

Script

Timing the Visit

• Six Weeks• Two Weeks• 48 Hour follow up• Lactation consultation• Nursing follow up visits

Medical Complications

• Heavy bleeding• Postpartum endometritis• Urinary incontinence• Thyroid disorders• Hypertensive disorders

High Yield Counseling

• Breastfeeding• Post Partum Depression• Obesity/Diet/Exercise• Contraception and Sexuality

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

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

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

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

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?

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