25 - Obstetrics Examination Flashcards
Normal vaginal delivery criteria:
1– Singleton 2– Non instrumental delivery 3– Normal GA [37–41 wks] 4– Spontaneous labor 5– No postpartum complications
Miscarriage:
Expulsion of the fetus before the age of viability
Stillbirth:
Baby delivered after 24 weeks that doesnt breathe or show any signs of life
Maternal mortality:
A woman who dies while pregnant, or within 28 days after delivery
Puerperium:
6 weeks after childbirth during which the mother’s reproductive organs return to their original non pregnant condition
Normal fetal position or attitude of the fetus:
1– Head tucked down to the chest
2– Arms and legs toward the center
Lie of the fetus:
Long axis relationship and normally it’s longitudinal
Normal presentation of the fetus:
Cephalic [Head presenting]
External cephalic version:
Turning the fetus from breech position into head down [Vertex] before labor begins
Station [descent]
Relationship between the presenting baby part and the mother’s ischial spine
High risk BMI
<20 or >35
Obese pregnant mothers VS short and thin mothers:
Obese may develop diabetes and deliver a big macrosomic baby, while thinner women may deliver small babies and have obstructed labor
Inspection [From the foot of the bed]:
1– Shape of the abdominal distention
2– Movement with respiration
Inspection [From the right side]:
1– Pigmentation
2– Striae [New and red AKA Striae Gravidarum while old and white AKA striae albicantes]
3– Surgical scars [CS]
4– Hair growth
5– Fetal movement [After 24 weeks]
6– Umbilicus [Everted in polyhydramnios or multiple gestations]
7– Visible veins
PE involves:
1– Superficial palpation
2– Fundal height [After 20 weeks]
3– Leopold’s maneuvers [First AKA fundal grip [To identify the pole occupying the fundus]] and second [AKA lateral grip [To identify the sides in the uterus]]]
4– Pawlick [Grasping the lower portion just above the pubis symphysis]
5– Pelvis maneuver [Pressing the lower part of the uterus to determine the presenting part]