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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
Def of **Induction of Labor**
- Initiation of uterine contractions prior to their spontaneous onset & is carried out after fetal viability.
26
Def of **Augmentation of Labor**
- Strengthening of uterine contractions after their spontaneous or induced onset.
27
Indications of **Induction of Labor**
28
Indications of **Induction of Labor** - Maternal
29
Indications of **Induction of Labor** - Fetal
30
CI of **Induction of Labor**
31
Bishop Score in **Induction of Labor**
32
Bishop Score in **Induction of Labor** - Cervical Consistency
33
Bishop Score in **Induction of Labor** - Cervical Position
34
Bishop Score in **Induction of Labor** - Cervical Dilatation
35
Bishop Score in **Induction of Labor** - Cervical Effacement
36
Bishop Score in **Induction of Labor** - Station of Head
37
Bishop Score in **Induction of Labor** - Interpretation
38
Prerequisities in **Induction of Labor**
39
Methods of **Induction of Labor**
40
Methods of **Induction of Labor** - The Best Method
- The best method for induction of labor is repining of cervix by PGs then augmentation by combined AROM + oxytocin.
41
**Medical Induction of Labor**
42
**Surgical Induction of Labor**
43
**Surgical Induction of Labor** - Stripping of Membranes
- 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
**Surgical Induction of Labor** - AROM
45
**Surgical Induction of Labor** - AROM (Efficacy)
- Up to 88% of women with favorable cervix will deliver within 24 hours after AROM alone.
46
**Surgical Induction of Labor** - AROM (Factors Affecting Success)
- State of cervix (dilatation & effacement). - Station of presenting part at time of procedure. - Parity of woman.
47
**Surgical Induction of Labor** - AROM (Complications)
- Cord prolapse. - Chorioamnionitis. - Drainage of liquor with dry labor. - Placental abruption (in amniotomy with polyhydramnios). - Injury of fetal scalp
48
**Surgical Induction of Labor** - Insertion of Foley's catheter through cervix & inflation of its balloon with 30 ml fluid
Done mostly on dead fetus.
49
Old Methods of **Induction of Labor**
Obsolete & not used now. 1) Osmotic dilators (as laminaria tent). 2) Caster oil. 3) Massage nipple to stimulate oxytocin release.
50
Hazards of **Induction of Labor**

Y4R2 - Obstetrics I 🤰 (59 decks)

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