7: Cord Stuff Flashcards
1
Q
Cord Prolapse risk factors
A
grand multip [over distended uterus/abdomen] malposition malformation (hydrocephaly, etc) polyhydramnios iatrogenic PROM pelvic contracture
2
Q
Treatment for cord prolapse
A
push head back in
C section
3
Q
Cord prolapse etiology
A
long cord, excess fluid monoamniotic twins fetal movement (Males!)
4
Q
Uterine rupture caused by…
A
induction by pitocin is biggest risk
also shoulder dystocia
vertical C sxn scar
5
Q
transverse scars
A
“bikini cut”, more likely to dehisce, increasing risk of hemorrhage
6
Q
Risk factors for uterine rupture
A
perforation of uterus
bad TAB
distention (multip, polyhydramnios)
any uterine surgery (related to or unrelated to preg)
7
Q
s/sxs uterine rupture
A
sudden decrease FHR!
if upper: sharp, tearing pain; syncope; abn vaginal bleeding; rigid abdomen
if lower: sublte, ache, UCs become weaker, fetal distress
8
Q
Management of uterine rupture
A
left lateral decubitus, oxygen, tx shock, abx, uterine repair
may need hysterectomy
