You have just examined Mrs X in the postpartum clinic. She is complaining of breast pain and discomfort. You have established a diagnosis of postpartum mastitis.

All of the following are treatment options for her except:

The commonest urinary problem occurring in the postpartum period is:

A 24-year-old woman presents to delivery suite with a 12 h history of right-sided chest pain and shortness of breath. She is at 7 days’ postnatal having delivered her baby by emergency caesarean section at 34 weeks. Her pregnancy was complicated by severe hypertension and postpartum haemorrhage of 1 L. She has a BMI of 32. Her BP is 130/80 mmHg, pulse is 108 bpm, temperature is 37.2 and oxygen saturations are 94 % in air. What is the SINGLE most likely diagnosis?

A 40-year-old woman, who has had a previous caesarean delivery, experiences brisk vaginal bleeding immediately following vaginal delivery of a 36-week gestation baby (birth weight 3.8 kg). 10 min prior to the delivery, there was acute onset fetal bradycardia and cessation of uterine contractile activity. The urinary catheter shows haematuria. The placenta was delivered without complication.

Bimanual compression of the uterus is extremely painful for the woman. Despite an estimated blood loss of 500 ml, she appears pale and clammy with BP 90/30 and pulse 120 bpm. Which one of the following is the most likely cause for the excessive genital tract bleeding?

A 40-year-old woman, who has had three previous vaginal deliveries, experiences brisk vaginal bleeding immediately following vaginal delivery of 36-week gestation twins (birth weights 2.0 and 1.9 kg). An episiotomy was not required. The placenta was delivered without complication. She received an epidural top-up 30 min before delivery. The estimated blood loss is 700 ml. Which one of the following is the most likely cause for the excessive genital tract bleeding?

A 32-year-old woman presents to delivery suite with a 3-day history of worsening pelvic pain and vaginal bleeding with clots. She is at 5 days postnatal having delivered her baby by kiwi cup vacuum delivery at 41 weeks’ gestation. She has a BMI of 32. Her BP is 130/80 mmHg, pulse is 108 bpm, temperature is 37.9 and oxygen saturations are 95 % in air. She has pelvic tenderness on examination.

What is the SINGLE most likely diagnosis?

Which one of the following statements is correct in relation to postpartum depression?

Which one of the following best defines secondary postpartum haemorrhage?