12 Flashcards
management of placenta previa at 20 weeks
- avoid: digital vag exam, intercourse
- schedule c-section at 36-37 wks
- modify if future US’s show differently
imaging for vasa previa
doppler US
complications of shoulder dystocia for infant
brachial plexus injury –> Erb’s palsy (waiter tip)- most- spontaneous recovery within 3 mo surgery if no improvement 3-6 mo
clavicle or humerus injuries
hypoxic encephalopathy
dysmenorrhea, dyspareunia, chronic pelvic pain that is worse in menses
endometriosis
manage endometriosis
- NSAIDs, OCPs
2. if fail, laparoscopy and biopsy of endometrial implants
AB fetus with O + mom
mom has anti-A and anti-B antibodies already so can affect 1st pregnancy
but only mild anemia- jaundice first 24 hours that responds to phototherapy
gestational diabetes targets
fasting: <95
1 hr post-p: <140
2 hr post-p: <120
manage shoulder dystocia
BE CALM
Breathe, don’t push
Elevate hips above abdomen (mcroberts)
Call for help Apply suprapubic pressure enLarge vag with episiotomy Maneuvers: -deliver posterior arm -rotate 180 degrees -collapse anterior shoulder -replace fetal head into pelvis for c-sec
find breast lump in over age 30
Mammogram/ US
if suspicious –> core biopsy
find breast lump under age 30
US / mammogram
if simple cyst –> needle aspiration
if complex cyst–> image-guided core biopsy
Paget disease of breast
painful, itchy, eczematous, ulcerating rash on nipple
underlying breast adenocarcinoma
exercise recommendations in pregnancy
moderate intensity 20-30 min/day
stop if leak, cervical incompetent, multiple gestation, previa, preeclampsia, severe heart or lung disease
sports to avoid in pregnancy
contact sports- hockey, soccer
high fall- skiing, gymnastics, horseback
scuba diving
hot yoga
external cephalic version
maneuvers to convert breech into vertex
after 37 weeks
reduces c-sect rate
contra: ruptured membranes, hyperextended fetal head, non reassuring fetal HR, oligohydramnios, twins, placental abnl
mittleschmerz
pain during ovulation
