Anesthesia, Forceps, Puerperium Flashcards
Most commonly used local anesthetic
Lidocaine
Most commonly used local anesthetic for pudendal block
Lidocaine
Anesthetic used to promote uterine relaxation in internal podalic version and beech decomposition
Isoflurane, Halothane
ADR of nitrous oxide
Megaloblastic anemia
ADR of isoflurane, halothane
Post-op hepatitis
ADR of ketamine
Dissociative anesthesia
ADR of bupivacaine
Cardiotoxicity, neurotoxicity
Drugs used for spinal anesthesia for CS
Bupivacaine, Lidocaine
Most commonly used anesthetic in general anesthesia
Isoflurane, Halothane
What nerve roots are blocked in pudendal block?
S2-S4
What roots are blocked in paracervical block?
T11-T12 (Paracervical ganglion of Feankenhauser)
Where do you inject the anesthetic for a paracervical block?
3 and 9 o clock
Level of spinal sensory blockade for spinal anesthesia
T8
Anesthesia used for pain relief during the first stage of labor, also commonly used for OPD gynecologic procedures
Paracervical block
Most commonly used anesthetic procedure
Epidural anesthesia - Gold standard
Most ideal anesthesia for severe preeclampsia and eclampsia
Epidural anesthesia
Anesthesia used for internal podalic version of second twin
GA
Level of sensory blockage for CS?
T4
Most important function of forceps
Traction
Not rotation!
Forceps used for delivery of a fetus with molded head
Simpson forceps
Forceps commonly used in nulliparous moms
Simpson forceps
Wide shank, fenestrated blade
Simpson forceps
Solid blade, narrow shank
Tucker Mac Lane forceps
Forceps commonly used in multiparous women
Tucker Mac Lane forceps
Forceps with sliding lock, minimal pelvic curvature
Keilland forceps
Forceps used for deep transverse arrest of the head
Keilland forceps
Uterine incision that’s least likely to rupture
Transverse incision/ Kerr incision
Kronig incision
Vertical incision at LUS
Most common indication for primary CS?
Dystocia
Puerperium definition
Delivery of placenta until 6 weeks post partum
Uterus is restored how many weeks postpartum?
3 weeks
Late onset metritis most commonly causes by what organism?
Chlamydia
Weight of non-pregnant uterus
100g
When does the uterus return to non-pregnant size
4 weeks postpartum
When does the uterus descend into the true pelvis
2 weeks postpartum
When is the entire endometrium restored
3 weeks postpartum
What is the single most significant factor for the development of uterine infection
Route of delivery
Only vitamin lacking in breast milk (or only in minute amount)
Vitamin K
Major proteins in breast milk
Lactoalbumin and casin
Uncommon but potentially fatal complication of septic abortion
DIC
When can a mother start POPs after delivery?
2-3 weeks
Given for lactating women
When to start COCs, DMPA, IUD after delivery?
6 weeks
Proper nursing schedule for lactation amenorrhea method
> 2 to 3 times per night and every 4 hours during the day without supplementation
When does menses return in non-lactating women?
After 6-8 weeks
Postpartum fever
Fever of > 38 C that occurs on any two of the first 10 days postpartum, exclusive of the first 24 hours
Most common cause of postpartum fever
Endometritis
Anesthetic used in women with acute hemorrhage and hypotension
Ketamine - increases BP
