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Obstetrics I - OSCE > Asphyxia > Flashcards

Asphyxia Flashcards

1
Q
A
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2
Q

Def of Fetal Distress (Intrauterine - Fetal Asphyxia)

A
  • State of inadequate oxygenation & inadequate elimination of CO2 that results in metabolic acidosis if persists for long time.
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3
Q

Etiology of Acute Fetal Distress (Intrapartum Asphyxia)

A
  • Maternal
  • Fetal
  • Placental
  • Cord
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4
Q

Etiology of Acute Fetal Distress (Intrapartum Asphyxia)

  • Maternal Causes
A
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5
Q

Maternal Causes of Acute Fetal Distress

  • Hypoxic Anoxia
A

Due to

  • pulmonary obstruction
  • pulmonary TB
  • bilateral pneumonia
  • prolonged anesthesia
  • convulsive fits.
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6
Q

Maternal Causes of Acute Fetal Distress

  • Stagnant Hypoxia
A

Due to:

  • HF
  • pulmonary edema
  • severe shock.
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7
Q

Maternal Causes of Acute Fetal Distress

  • Anemic Anoxia
A

Due to:

  • severe anemia (from Hge).
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8
Q

Maternal Causes of Acute Fetal Distress

  • Histotoxic Anoxia
A

As in

  • barbiturate poisoning
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9
Q

Causes of Acute Fetal Distress

  • Fetal
A
  • Cerebral edema & ischemia from prolonged labor or difficult forceps (due to ICH or depressed skull fractures).
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10
Q

Causes of Acute Fetal Distress

  • Placental
A
  • Placental insufficiency
  • Placental separation
  • Placental compression
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11
Q

Placental Causes of Acute Fetal Distress

  • Placental Insufficiency
A

Due to:

  • small placenta
  • placental thrombosis
  • multiple placental infarcts
  • placental aging.
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12
Q

Placental Causes of Acute Fetal Distress

  • Placental Separation
A

As in:

  • placenta previa
  • accidental Hge.
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13
Q

Placental Causes of Acute Fetal Distress

  • Placental Compression
A

Due to:

  • Tetanic uterine contraction
  • Prolonged labor after ROM
  • Compression by head in placenta previa type lI posterior.
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14
Q

Causes of Acute Fetal Distress

  • Cord
A
  • Cord prolapses
  • Cord compression
  • Hematoma, True knots, or tight coils of cord around fetal neck.
  • Avulsion of cord
  • Rupture of vasa previa.
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15
Q

Cord Causes of Acute Fetal Distress

  • Cord Prolapse
A

Leading to cord compression & vasospasm of its vessels.

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16
Q

Cord Causes of Acute Fetal Distress

  • Cord Compression
A
  • By uterine contraction after drainage of liquor or by forceps blades.
17
Q

Dx of Acute Fetal Distress

A
18
Q

Dx of Acute Fetal Distress

  • AF
A

Meconium-stained liquor in cephalic presentation.

19
Q

Dx of Acute Fetal Distress

  • FHR
A
20
Q

Managment of Acute Fetal Distress

A
  • Conservative
  • Active
21
Q

Managment of Acute Fetal Distress

  • Conservative
A
22
Q

Managment of Acute Fetal Distress

  • Active
A
23
Q

Def of Asphyxia Neonatorum

A
  • Failure of establishment of good pulmonary circulation & respiratory function after birth.
24
Q

Etiology of Asphyxia Neonatorum

A
25
Q

Etiology of Asphyxia Neonatorum

  • CNS Failure
A
26
Q

Etiology of Asphyxia Neonatorum

  • Peripheral Failure
A
27
Q

Complications of Asphyxia Neonatorum

A
28
Q

Dx of Asphyxia Neonatorum

A
  • APGAR Score
  • Clinical Picture
29
Q

APGAR Score for Asphyxia Neonatorum

  • Scoring
A
30
Q

CP of Asphyxia Neonatorum

A
31
Q

Prevention of Asphyxia Neonatorum

A
  • Antenatal
  • Intranatal
32
Q

Prevention of Asphyxia Neonatorum

  • Antenatal
A

Proper ANC to high-risk cases.

33
Q

Prevention of Asphyxia Neonatorum

  • Intranatal
A
34
Q

TTT of Asphyxia Neonatorum

A

Obstetrics I - OSCE (32 decks)

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