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Y4R2 - Obstetrics I 🤰 > L5: Induction of Labor & Abortion > Flashcards

L5: Induction of Labor & Abortion Flashcards

1
Q

Def of Induction of Abortion

A
  • Artificial TOP before fetal viability (20 weeks or 500 gm fetal weight).
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2
Q

Types of Induced Abortion

A
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3
Q

Indications of Therapeutic Abortion

A
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4
Q

Indications of Therapeutic Abortion

  • Maternal
A
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5
Q

Indications of Therapeutic Abortion

  • Fetal
A
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6
Q

Methods of Induction of Abortion

A
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7
Q

Methods of Induction of Abortion

  • Medical
A
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8
Q

Medical Induction of Abortion

  • During 1st Trimester
A
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9
Q

Medical Induction of Abortion

  • During 2nd Trimester
A
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10
Q

Surgical Induction of Abortion

A
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11
Q

Surgical Induction of Abortion

  • 1st Trimester
A
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12
Q

Surgical Induction of Abortion

  • Menstrual extraction or miniabortion
A
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13
Q

Surgical Induction of Abortion

  • Menstrual extraction or miniabortion (procedure)
A
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14
Q

Surgical Induction of Abortion

  • Menstrual extraction or miniabortion (Advantages)
A
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15
Q

Surgical Induction of Abortion

  • Suction evacuation & curettage
A
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16
Q

Surgical Induction of Abortion

  • Suction evacuation & curettage (Procedure)
A
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17
Q

Surgical Induction of Abortion

  • Suction evacuation & curettage (Complications)
A
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18
Q

Surgical Induction of Abortion

  • Suction evacuation & curettage (Advantages)
A
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19
Q

Surgical Induction of Abortion

  • Surgical evacuation & curettage
A
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20
Q

Surgical Induction of Abortion

  • During 2nd Trimester
A
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21
Q

Old Methods of induction of abortion

22
Q

Complications of Induced Abortion

23
Q

Complications of Induced Abortion

  • Complications of the method used for induction
A

PGs, oxytocin & suction evacuation.

24
Q

Complications of Induced Abortion

  • Maternal mortality
25
Q

Def of Induction of Labor

A
  • Initiation of uterine contractions prior to their spontaneous onset & is carried out after fetal viability.
26
Q

Def of Augmentation of Labor

A
  • Strengthening of uterine contractions after their
    spontaneous or induced onset.
27
Q

Indications of Induction of Labor

28
Q

Indications of Induction of Labor

  • Maternal
29
Q

Indications of Induction of Labor

  • Fetal
30
Q

CI of Induction of Labor

31
Q

Bishop Score in Induction of Labor

32
Q

Bishop Score in Induction of Labor

  • Cervical Consistency
33
Q

Bishop Score in Induction of Labor

  • Cervical Position
34
Q

Bishop Score in Induction of Labor

  • Cervical Dilatation
35
Q

Bishop Score in Induction of Labor

  • Cervical Effacement
36
Q

Bishop Score in Induction of Labor

  • Station of Head
37
Q

Bishop Score in Induction of Labor

  • Interpretation
38
Q

Prerequisities in Induction of Labor

39
Q

Methods of Induction of Labor

40
Q

Methods of Induction of Labor

  • The Best Method
A
  • The best method for induction of labor is repining of cervix by PGs then augmentation by combined AROM + oxytocin.
41
Q

Medical Induction of Labor

42
Q

Surgical Induction of Labor

43
Q

Surgical Induction of Labor

  • Stripping of Membranes
A
  • Passing finger through cervical os, sweeping it around internal surface of cervix & gently stripping membrane away from it (separation of membranes is followed by endogenous PGs release).
44
Q

Surgical Induction of Labor

  • AROM
45
Q

Surgical Induction of Labor

  • AROM (Efficacy)
A
  • Up to 88% of women with favorable cervix will deliver within 24 hours after AROM alone.
46
Q

Surgical Induction of Labor

  • AROM (Factors Affecting Success)
A
  • State of cervix (dilatation & effacement).
  • Station of presenting part at time of procedure.
  • Parity of woman.
47
Q

Surgical Induction of Labor

  • AROM (Complications)
A
  • Cord prolapse.
  • Chorioamnionitis.
  • Drainage of liquor with dry labor.
  • Placental abruption (in amniotomy with polyhydramnios).
  • Injury of fetal scalp
48
Q

Surgical Induction of Labor

  • Insertion of Foley’s catheter through cervix & inflation of its balloon with 30 ml fluid
A

Done mostly on dead fetus.

49
Q

Old Methods of Induction of Labor

A

Obsolete & not used now.

1) Osmotic dilators (as laminaria tent).
2) Caster oil.
3) Massage nipple to stimulate oxytocin release.

50
Q

Hazards of Induction of Labor

Y4R2 - Obstetrics I 🤰 (59 decks)

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