M3 PSTRM Flashcards
Definition of post term pregnancy: Delivery of a fetus at ____ completed weeks or greater from LMP
a. 40 weeks
b. 41 weeks
c. 42 weeks
d. 43 weeks
C
Predisposing factors to postterm pregnancy (maternal) (3)
PNB
Prior postterm
Nulliparity
BMI, prepregnancy >/=25
Predisposing factors to postterm pregnancy (fetal) (3)
APA
Anencephaly
Placental sulfatase deficiency
Adrenal hypoplasia
Baby has wrinkled, patchy peeling skin; Long thin body; infant is open-eyed, unusually alert, and appears old and worried; typically has long nails.
Postmaturity Syndrome
Acceptable indications of earlier intervention or delivery (5)
PigGy FOoDie (PG FOD) Previous C section Gestational hypertensive disorders Fetal compromise Oligohydramnios Diabetes
Factors affecting success of induction of Labor (5)
FBCCS FB Cge Cge Share Favourability of the cervix Bishop score of 7 or more Cervical dilatation Cervical length (USG 25 mm long) Station of the vertex
Percentage of success of induction of labor with vertex at station -1
6%
Percentage of success of induction of labor with vertex at station -2
20%
Percentage of success of induction of labor with vertex at station -3
43%
Percentage of success of induction of labor with vertex at station -4
77%
Management of unfavourable cervix(2)
Ripen with Prostaglandin E2 gel or Mifeprestone
Stripping of membranes
Fetal surveillance starts at 41 weeks and includes (3)
Fetal movement counting at 2 hour period per day
Nonstress test 3x per week
Amniotic fluid volume
AF pocket size considered abnormal
<3cm
True about amniotomy in postterm pregnancy EXCEPT
a. it is recommended to perform amniotomy
b. aid in the identification of thickly stained meconium
c. can enhance possibility of cord compression
d. allows placement of scalp electrode and intrauterine pressure catheter
A.
Management for thick meconium and oligohydramnios (2 options)
Amnioinfusion of sterile NSS
CS
