postpartum care
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Indications
Management
- all women should have contact with an obsetrician (or midwife), either by phone or in person, within 3 weeks of giving birth[1]
- individualize pain management for postpartum women[2]
- use stepwise approach with a combination of agents
- after a cesarean delivery, acetaminophen, NSAIDs, & opioids (either alone or with an NSAID or acetaminophen)
- parenteral or oral opioids should be limited to treating breakthrough pain when neuraxial opioids & nonopioids are no longer adequate
- avoid codeine
- women prescribed opioids should be counseled risk for CNS depression in herself & in her breast-fed infant
- opioids should be limited to the shortest duration expected to treat acute pain
More general terms
References
- ↑ 1.0 1.1 American College of Obstetricians & Gynecologists (ACOG) Optimizing Postpartum Care. ACOG Committee Opinion. Number 736, May 2018 https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Optimizing-Postpartum-Care
- ↑ 2.0 2.1 American College of Obstetricians & Gynecologists (ACOG) Postpartum Pain Management. ACOG Committee Opinion. Number 742, May 18, 2018 https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Postpartum-Pain-Management