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Y4R2 - Obstetrics I 🤰 > L5: Prolonged Pregnancy > Flashcards

L5: Prolonged Pregnancy Flashcards

1
Q

Def of Postdate Pregnancy

A

Pregnancy beyond EDD but not > completed 42 weeks

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2
Q

Def of Post-term Pregnancy

A

GA > completed 42 weeks (> 294 days)

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3
Q

Def of Postmature

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Clinical syndrome that describes infant with clinical features indicating pathologically prolonged pregnancy

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4
Q

Incidence of Prolonged Pregnancy

A

Post-term pregnancy occurs in 7% of pregnancies

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5
Q

Etiology of Prolonged Pregnancy

A
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6
Q

Etiology of Prolonged Pregnancy

  • Maternal
A
  1. Miscalculation: Commonest cause.
  2. Familial & Genetic factors.
  3. Poor nutrition.
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7
Q

Etiology of Prolonged Pregnancy

  • Fetal & Placental
A
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8
Q

Complications of Prolonged Pregnancy

A
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9
Q

Dx of Prolonged Pregnancy

A
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10
Q

Dx of Prolonged Pregnancy

  • during Pregnancy
A
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11
Q

Dx of Prolonged Pregnancy

  • After Delivery
A
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12
Q

Managment of Prolonged Pregnancy

A
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13
Q

Managment of Prolonged Pregnancy

  • Expectant Treatment
A
  • Wait for spontaneous onset of labor (occurs in 60% at 40-41 weeks & in 80% by 43 weeks)
  • Careful observation of fetal wellbeing (perform NST, CST & BPP twice weekly while waiting for spontaneous onset of labor).
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14
Q

Managment of Prolonged Pregnancy

  • Active Managment (TOP)
A
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15
Q

Active TOP in Prolonged Pregnancy

  • Indication
A

1) Pregnancy > 42 weeks.

2) Fetus is at risk (evidence of placental insufficiency by NST, CST & BPP).

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16
Q

Active TOP in Prolonged Pregnancy

  • Methods
A
17
Q

Active TOP in Prolonged Pregnancy

  • Vaginal
A
18
Q

Active TOP in Prolonged Pregnancy

  • CS
A

If there is fetal distress, failed induction, other indication for CS.

19
Q

Neonatal Care in Prolonged Pregnancy

A

Examination for congenital anomalies & treatment of complications

20
Q

Def of Post-Maturity Syndrome

A

Postterm fetus with evidence of placental insufficiency

21
Q

Incidence of Post-Maturity Syndrome

A
  • 10% in pregnancies at 41-43 weeks
  • 33% of pregnancies at 44 weeks.
22
Q

Etiology of Post-Maturity Syndrome

A

Fetus outgrows its placental supply &/or placental functions deteriorate (placental aging)

23
Q

Dx of Post-Maturity Syndrome

A
24
Q

Dx of Post-Maturity Syndrome

  • During Pregnancy
A
25
Q

Dx of Post-Maturity Syndrome

  • After Delivery
A

Y4R2 - Obstetrics I 🤰 (52 decks)

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