6 Flashcards
methylergonivine
ergot alkaloid - uterotonic agent to help control post part hemorrhage
contraindicated in preeclampsia/HTN because vasoconstrictive
prostaglandin F2 alpha
uterotonic agent to control post part hemorrhage
contraindicated in asthma because smooth muscle constrictor
drugs to treat endometritis
gentamicin and ampicillin or clindamycin
whats most common cause of fever postpartum day 1, especially after general anesthesia
lungs- atelctasis, aspiration pneumonia
can SSRIS be used in lactation?
yes
SSRIs during third trimester effect on fetus
EPS signs and withdrawal symtoms- agitation, tremor, sleepiness, difficulty breathing and feeding
tests when you’re 41 weeks pregnant and still not in labor
twice weekly testing of:
- amniotic fluid volume assessment (modified BPP)
- non stress test
post term pregnancies associated with
placental sulfatase def. fetal adrenal hypoplasia anencephaly macrosomia oligohydramnios meconium aspiration uteroplacental insufficiency
fetal dysmaturity signs
long nails
yellow green hue- meconium stained
fragile
most common cervical ripening med to induce
prostaglandins applied locally
risk factors for postterm pregnancies
history of postterm nulliparous advanced age caucasian male fetus obesity
what tests should be done if theres evidence of restricted growth?
non stress test twice a week
biophysical profile
biophysical profile
ultrasound eval of fetal movement, tone, amniotic fluid, and breathing
which diseases will restricted growth fetus be prone to develop?
DM 2 CV disease HTN stroke COPD obesity
what should you do with IGUR at 36 weeks with oligohydramnios and abel umbilical artery doppler studies?
deliver!
estimate feel weight by…
leopold maneuvers
and measure height of fundus above public symphysis
calculating gestational age by…
- crown rump in 1st trimester- US
- fetal heart tones for 20 weeks by nonelectric fetoscope or 30 weeks if use doppler
- 36 weeks since bHCG measured reliably
fibroids requires what type of intervention
c-section
forceps delivery causes more of what compared to vacuum assisted?
maternal lacerations
most common complication of tubal ligation
future pregnancy (failure is 1%)
chorionic villous sampling vs amniocentesis
A: loss rate 0.5%
after 15 weeks
C: loss rate 1-3%
after 10-12 weeks
requires more tries than amniocentesis
hysteroscopic tubal occlusion
in-office procedure
place coils into fallopian tubes that cause scarring to block tubes
treatment for antiphospholipid syn
aspirin plus heparin
medical abortion compared to surgical abortion causes more…
blood loss (most common etiology- retained products of conception)
