Definitions Flashcards

1
Q

Nullipara

A

A women who has never been pregnant beyond 20 weeks gestation

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2
Q

Gravid

A

The number of pregnancies, regardless of outcome

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3
Q

Parity

A

The number of babies born after 20 weeks gestation

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4
Q

G6, P4

A

Gravida 6, Para 4 means pregnant 6 times (includes the current pregnancy) and has previously delivered 4 babies at more than 20 weeks gestation

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5
Q

Grand multipara

A

A woman who has delivered 5 or more babies at more than 20 weeks gestation

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6
Q

Abortion/miscarriage

A

Pregnancy loss before 20 weeks gestation

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7
Q

Labour

A

Regular painful contractions with cervical change after 20 weeks gestation

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8
Q

Lower uterine segment caesarian section

A

Operative delivery of the baby through an incision in the lower uterine segment

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9
Q

Classical caesarian section

A

Operative delivery of a baby through a vertical incision in the upper segment of the uterus

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10
Q

Hysterotomy

A

Operative delivery of the baby through a uterine incision at less than 20 weeks gestation

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11
Q

Preterm labour

A

Labour at

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12
Q

Prelabour rupture of membranes (PROM)

A

Rupture of the membranes before onset of labour

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13
Q

Premature prelabour rupture of membranes (PPROM)

A

Rupture of the membranes before the onset of labour

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14
Q

ARM/AROM

A

Artificial rupture of the membranes

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15
Q

SROM

A

Spontaneous rupture of the membranes

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16
Q

Braxton Hicks contractions

A

Painless uterine contractions in the antenatal period

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17
Q

Naegeles rule

A

To estimate the probable date of confinement: add 9 months and 7 days to the first day of the last menstrual period. A correction is required if the patient does not have 28 day cycles

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18
Q

First stage of labour

A

From the start of labour until full dilatation of the cervix

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19
Q

Second stage of labour

A

From full dilatation of the cervix until the birth of the baby

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20
Q

Third stage of labour

A

From the birth of the baby until the delivery of the placenta & membranes

21
Q

Spurious or false labour

A

Uterine contractions which may be regular and/or painful, but are not associated with cervical effacement & dilatation

22
Q

Oxytocic

A

Medication that stimulates contractions of the uterine muscle

23
Q

Tocolytic

A

Medication to stop uterine contractions

24
Q

Induction of labour

A

The process of causing labour to commence

25
Q

Augmentation of labour

A

The process of stimulating a labour that has already started

26
Q

Placenta praevia

A

Placenta that approaches or covers the internal cervical os in late second or third trimester

27
Q

Vasa praevia

A

Fetal vessels lying in the membranes in front of the presenting part

28
Q

Antepartum haemorrhage

A

Bleeding >5mL from the vagina after 20 weeks gestation

29
Q

Abruption

A

Separation of the placenta from the uterus in the antenatal or intrapartum period

30
Q

Post-partum haemorrhage

A

Vaginal bleeding of more than 500mL in the first 24 hours after delivery

31
Q

Secondary post-partum haemorrhage

A

Vaginal bleeding of more than 500mL more than 24 hours after delivery

32
Q

Placenta accreta

A

Placenta that invades the myometrium

33
Q

Uterine atony

A

Abnormal relaxation of the uterus after delivery, usually causing bleeding

34
Q

Isoimmunisation

A

Blood group antibodies cross the placenta resulting in haemolysis of fetal red blood cells

35
Q

CTG

A

Cardiotocograph

36
Q

Neonatal death

A

A liveborn infant who dies within 28 days of birth, of at least 20 weeks gestation or weighing >400gm if gestation is unknown

37
Q

Stillbirth

A

An infant born after 20 weeks gestation who did not show any signs of life after birth

38
Q

Perinatal mortality rate

A

The number of stillbirths plus neonatal deaths per 1000 births

39
Q

Maternal death

A

The death of a woman while pregnant or within 42 days of the conclusion of the pregnancy irrespective of the cause of death

40
Q

Maternal mortality rate

A

Number of maternal deaths per 100,000 live births

41
Q

Infant death

A

Death of an infant between 29 days and 1 year of life

42
Q

Station

A

The level of descent of the presenting part relative to the pelvic brim or symphysis on abdominal palpation, or to the ischial spines on vaginal examination

43
Q

Lie

A

The relationship between the long axis of the fetus and the long axis of the uterus, eg. longitudinal, oblique, transverse

44
Q

Position

A

The relationship of a defined area on the presenting part (the ‘denominator’) to the
mother’s pelvis. In a cephalic presentation, the denominator is the occiput, thus the fetal position is described as occipito-anterior (OA), occipito-posterior (OP), left or right
occipito-transverse (L/ROT). In a breech presentation, the denominator is the sacrum (SA, SP, ST)

45
Q

Presentation

A

The part of the fetus which is presenting, eg. vertex, breech

46
Q

Asynclitism

A

Side to side tilt of the fetal head

47
Q

Caput

A

Oedema form obstructed venous return in the fetal scalp caused by pressure of the head against the cervix

48
Q

Cervical incompetence

A

Painless cervical dilatation in the second trimester causing preterm labour