TEXTILE MATHEMATICS - PART I by T. Woodhouse and A. Brand

By T. Woodhouse and A. Brand

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Tip The distinction between PMS and psychological disorders that become worse in the premenstrual phase is often difficult. Examination is unnecessary. Management Advice • • • • Support and reassurance are vital, as there is undoubtedly a strong placebo effect. A menstrual diary, kept for at least 3 months, is useful. Exercise should be encouraged. ) A healthy, well-balanced diet should be encouraged in order to maintain steady blood glucose levels. Prescribing • • • • • NSAIDs are useful for pain symptoms and often improve mood and bloating.

Postnatal depression, however, affects 10–15% of mothers, usually within the first 3 postnatal months. Diagnosis As with other forms of depression, the patient is not always aware that she is depressed, and diagnosis can be difficult. The Edinburgh Postnatal Depression Questionnaire is a useful screening tool which can be completed by all mothers. Women who score Ͼ9 should be assessed further. g. anaemia or hypothyroidism. History Risk factors for postnatal depression • A past history of depression.

Gentle massage of a hard lump while feeding may be helpful. The milk should be smoothed towards the nipple. MASTITIS • • • A segment of the breast is usually red and tender and the patient is often pyrexial. e. related to poor positioning, engorgement or localised obstructions (see above). If appropriate, treat with flucloxacillin 500 mg qds for 5 days (or erythromycin if the patient is allergic to penicillin). Antibiotic treatment will alter the taste of the milk and may cause the baby to develop mild diarrhoea.

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