A breastfeeding mom asks for contraception at her two-week postpartum visit. A patient with gestational diabetes returns six weeks after delivery. A new mother on postpartum day six has a severe headache and blood pressure of 164/112. These cases contain the common wrong answers that sound … [Read more...] about 175 Postpartum Care for the PANCE: No Estrogen Before Day 21
Reproduction
174 Normal Postpartum Care and Breastfeeding for the PANCE & How to Win
A white count of 20,000 the day after delivery. A temperature of 38 in the first 24 hours. Cramping every time she breastfeeds. Each one looks like trouble, and each one is normal. This episode covers the six weeks after delivery when nothing is going wrong, who shouldn't breastfeed, and how to tell … [Read more...] about 174 Normal Postpartum Care and Breastfeeding for the PANCE & How to Win
173 PROM, Breech and Twins for the PANCE
The water breaks at 30 weeks. The baby's head is in the fundus at 37. The ultrasound shows one placenta and two babies. None of these is an emergency yet, but each one changes the delivery plan, and one number decides it every time: 34 weeks for ruptured membranes, 37 weeks for breech, and how many … [Read more...] about 173 PROM, Breech and Twins for the PANCE
172 Intrapartum Emergencies for the PANCE
The water breaks and the heart rate drops. The head delivers and pulls back. A scarred uterus loses station. Three of today's four emergencies announce themselves the same way, with the fetal heart rate falling, and what separates them is what happened right before. This episode is the tracing going … [Read more...] about 172 Intrapartum Emergencies for the PANCE
171 Induction and Delivery: Bishop Score, Epidurals and Newborn Care
A Bishop score of 8 or higher means skip the ripening and go straight to oxytocin. Misoprostol and a prior uterine scar don't mix. And the APGAR never decides when resuscitation starts. This episode finishes labor the way it actually gets tested: how to start it when it won't start, how to restart … [Read more...] about 171 Induction and Delivery: Bishop Score, Epidurals and Newborn Care
