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Suppression through
mechanical inhibition: well-fitting bra within 6 hrs delivery; continuous for
5 – 7 days, remove only for showers; ice packs qid – 20 mins; teach: avoid
stimulation & heat; shower back. Don’t give meds to “dry up” breasts
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Rest/activity/exercises
– encourage rest; sleep when baby sleeps. Relaxin – hormone during breastfeeding; both get sleepy. Cultural
considerations: how PP is viewed: natural process vs illness. Gradually ↑
ambulation & activity; avoid heavy lifting (toddler at home!!), excessive
stairs; light housekeeping 2nd week; return to work 6 wks. Exercise: Figure 22-1, pp 472 – 473; may
start in hospital
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Pharmacologic
interventions:
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Rubella: titer < 1:10, give vaccine PP /a dc.
Informed consent, avoid pregnancy 3 mos; contraceptive counseling advised
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RH Immune Globulin:
RhoGAM within 72 hrs to prevent sensitization from fetomaternal transfusion
of Rh-positive fetal RBCs. TEACHING vital! Chapter 13:pp 280 – 283. Figure
13-3, p 281
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