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Breast Feeding and Post-Partum Care - Coggle Diagram

- - - - First degree tear (only in vagina)
      - 2nd degree: Tear of perineal muscles
      - 3rd Degree: Anal sphincter torn, perineal muslces torn
      - 4tgh Degree: Fistula between anal spincter and uterus
    - - Warm compresses in second stage, protect perineum at birth holding perineum
  - - - 3 Phases
        
        Lochia Rubra: Blood and decidual Tissues (Immediately after birth -> 3 days)
        
        Lochia Serosa: Contains serous fluid, decidual tissue, leukocytes, erythcrocytes (lasts for 8 days)
        
        Lochia Alba: Contains leukocytes and it is creamy and white (starts at 10 days, last up to 4 weeks)
- - - - Painful nipples (throughout feed
    - - D/C Bram Breastfeeding pads, diflucan
  - - - Correct latch, cream, sun exposition, no bras
  - - - Localised, painful area, local induraction +/- erythema
    - - Warm compress, continue breastfeeding
  - - - Flu like symptoms (chills, fever) + intense pain + erythema
    - - Acetaminophen, cephalexin (500 mg QID) continue breastfeeding, reevalutate within 24 hours