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DMS 400 OB/GYN > Class 21: Post Partum > Flashcards

Class 21: Post Partum Flashcards

1
Q

another name for the post partum period?

A

peurperium

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2
Q

duration of peurperium period?

A

6-8 weeks

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3
Q

U/S appearance of postpartum UT?

A
  • large
  • hypoechoic
  • open int-os
  • adnexas not well seen
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4
Q

U/S appearance of endometrium post partum?

A
  • inverted triangle
  • fluid
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5
Q

endometrium thickness is __ to __ mm initially; after 10 days, it is __ to __ mm

A

5-13mm; 3-8mm

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6
Q

post partum uterus measurements?

A

sag 14.5-25cm
trv 7-14cm
ap 7-10cm

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7
Q

most common lethal complication in post partum?

A

post partum hemorrhage

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8
Q

what constitutes post partum hemorrhage in vaginal & C-section delivery

A

blood loss > 500 ml after vaginal
blood loss > 1000 ml after C/S

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9
Q

types of postpartum hemorrhage?

A
  1. acute
  2. delayed
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10
Q

when does acute PP hemorrhage occur?

A

within 24 hours post delivery

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11
Q

when does delayed PP hemorrhage occur?

A

2-31 days after delivery

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12
Q

2 causes of acute PP hemorrhage?

A
  1. UT atony
  2. soft tissue damage
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13
Q

what is uterine atony?

A

when uterus fails to contract after childbirth, blood vessels that were attached to the placenta continue to bleed freely. leads to acute PP hemorrhage

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14
Q

3 types of treatments for uterine atony

A
  1. manual massage
  2. IV oxytocin
  3. blood transfusion with surgery
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15
Q

how does uterine atony look in US?

A

normal post partum uterus

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16
Q

cause of uterine atony?

A

weak myometrium

17
Q

2 causes of delayed postpartum hemorrhage?

A
  1. subinvolution of uterus
  2. retained secundines
18
Q

what is subinvolution of uterus?

A

uterus fails to regress in size

19
Q

US appearance & tx of subinvolution of uterus is the same as uterine atony. T/F?

A

true

20
Q

when is a peurperal infection suspected?

A

body temperature increases 2 degrees on any 2 of the 1st 10 postpartum days

21
Q

most common route for puerperal infection?

A

vaginal

22
Q

what is ovarian vein thrombophlebitis (POVT)

A

inflamed ovarian vein due to thrombus

23
Q

which ovarian vein is more likely to have POVT? why?

A

ROV dt physiologic torsion of UT after delivery

24
Q

POVT is related to ___ triad

A

virchow’s

25
Q

3 factors for virchow’s triad?

A
  1. hypercoaguability of blood
  2. venous stasis/pooling
  3. altered vein walls
26
Q

modality of choice for POVT?

A

CT & MRI

27
Q

2 treatments for POVT?

A
  1. antibiotics
  2. anticoagulation treatment
28
Q

2 c-section complications

A
  1. bladder flap hematoma
  2. wound infection
29
Q

what is bladder flap hematoma?

A

blood collection in vesicouterine space

30
Q

3 signs of a wound infection after c-section

A
  1. abscess
  2. hematoma
  3. seroma
31
Q

what is a seroma?

A

fluid collection under skin surface usually at the c-section incision site

DMS 400 OB/GYN (21 decks)

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