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Obstetrics > Complications of L&D > Flashcards

Complications of L&D Flashcards

1
Q

Meds to stop preterm labor

A 
Tocolytics
CCB's
NSAIDS
Terbutamine
Mag Sulfate
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2
Q

Corticosteroids can be used from

A

24 - 34 wks gestation to enhance maturity

Lung maturity

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3
Q

Group B strep

A

GU tract colonization in 15-40% of women

Universal screening btw 35 and 37 wks.

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4
Q

Group B strep meds

A

PCN G IV then q4 til delivery
If allergic:
Cefazolin, Clinda, Vanc

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5
Q

Dystocia

A

Failure to progress
Leading indication for c-section
Lack of dilation or fetal descent

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6
Q

No fetal descent after 1 hr of pushing =

A

2nd stage arrest

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7
Q

Meds for dystocia

A

Oxytocin (Pitocin)

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8
Q

Amniotomy

A

Manual rupture of the membranes

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9
Q

3 most common indications for c-section

A

Dystocia
Nonreassuring fetal status
Fetal malpresentation

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10
Q

Umbillical cord prolapse

A

Rare, serious complication
Umbilical cord palpable on PE
Causes fetal bradycardia

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11
Q

Cord prolapse mgmt

A

C-section

Tocolytics

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12
Q

Shoulder dystocia

A

1-3% of births

Anterior shoulder is impacted behind pubic symphysis

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13
Q

Cephalic presentation

A

Normal presentation

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14
Q

External Cephalic Version (ECV)

A

Turning baby from breech to vertex
50% success
Must have completed 36 wks

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15
Q

Retained placenta

A

Placenta that ha snot been expelled 30 - 60 mins post delivery.
Major cause of hemorrhage

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16
Q

Retained placenta tx

A

IV nitro to relax uterus
Intraumbillical oxytocin
Manual removal

17
Q

Uterine inversion

A

Uterine fundus collapses into emdometrial cavity

Manual correction, IV, fluids, relaxants

18
Q

Post-partum hemorrhage

A

4% of deliveries

Multiple etiologies

19
Q

Post partum hemorrhage tx

A

Fundal massage
IV access
Oxytocin and other uterotonic drugs
Tamponade balloon catheter

20
Q

Number one cause of postpartum bleed?

A

Uterine Atony

Obstetrics (6 decks)

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