Mother Baby Terms Flashcards

1
Q

Antepartum (AP)

A

Before the birth, generally the pregnancy period of time.

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2
Q

Appropriate for gestational age (AGA)

A

Baby’s size is as expected for how far along you are.

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3
Q

Amniotic Fluid

A

Amniotic fluid is a clear, slightly yellowish liquid that surrounds the unborn baby (fetus) during pregnancy. It is contained in the amniotic sac.

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4
Q

Amniotic Fluid Index(AFI)

A

An estimate of the amount of amniotic fluid and is an index for the fetal well-being. … Median AFI level is approximately 14 from week 20 to week 35, when the amniotic fluid begins to reduce in preparation for birth. An AFI < 5-6 is considered as oligohydramnios.

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5
Q

Amniotic Fluid Volume (AFV)

A

How much fluid is surrounding baby in amniotic sac. See above parameters for normal fluid volume. Determined using ultrasound.

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6
Q

Artificial rupture of membranes (AROM)

A

Health care provider inserts a special hook through the cervix and makes a hole in the membranes, releasing amniotic fluid. Also known as “breaking the bag of waters.”

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7
Q

Biophysical Profile (BPP)

A

A biophysical profile (BPP) is a prenatal ultrasound evaluation of fetal well-being involving a scoring system, with the score being termed Manning’s score. It is often done when a non-stress test (NST) is non reactive, or for other obstetrical indications. A possibility of 2 points assigned for each parameter for a max of 10 possible points total comprising (1) the nonstress test (NST), (2) ultrasonographic measurement of the AFV, (3) observation of the presence or absence of fetal breathing movements, (4) gross body movements, and (5) muscle tone.

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8
Q

Breech

A

Baby is presenting in the pelvis either buttocks first (frank) or feet first (footling)

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9
Q

Cervical exam/sterile vaginal exam (SVE)

A

Health care provider uses fingers to check the cervix for:
* Position of cervix (posterior – to the back, or anterior –
forward, to the mother’s front).
* Ripeness (softness or hardness of the cervix).
* Dilation (amount open).
* Effacement (amount thick or thin, shortening of
the cervix).
Station (how low in the pelvis the baby has descended).

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10
Q

Cephalopelvic disproportion (CPD)

A

The baby’s head is too large, the mother’s pelvic structure is too small, or a combination of the two. Rarely diagnosed before labor. Sometimes can be related to a baby lying in the persistent occiput posterior position (the back of the baby’s head is toward the mother’s back) or asynclitism (baby’s head tilted so that it does not fit through the pelvis). Leads to a Cesarean section birth.

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11
Q

Child Protective Services (CPS)

A

A state agency that protects babies and children.

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12
Q

Cesarean section or C-section (C/S)

A

A surgical procedure used to deliver the baby through incisions in the abdomen and uterus; used if labor or vaginal birth is difficult or dangerous for the mother or baby; also used if mother has had a CS before.

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13
Q

Cervix

A

Lowest part, or neck, of the uterus that ends in the back of the vagina or birth canal.

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14
Q

Date of birth (DOB)

A

Mother’s or baby’s birthday; most times includes the month, day, and year.

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15
Q

Doppler

A

A handheld device placed on abdomen that makes it possible to hear the fetal heartbeat.

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16
Q

Estimated date of confinement (EDC), Estimated due date (EDD, or Estimated date of birth (EDB)

A

The expected due date of the baby, figured for a 40-week pregnancy from the mother’s last menstrual period

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17
Q

Electronic fetal monitoring (EFM)

A

The mother has two sensing devices placed on her abdomen. One of these devices picks up the baby’s heartbeat; the other picks up changes in uterine tone (which shows contractions).

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18
Q

Episiotomy (epis)

A

A surgical incision to widen the skin opening between the vagina and rectal area (perineum) to allow birth to happen hopefully easier. Associated with incision tearing further with birth of baby’s head. Once a routine procedure, now rarely done as thinking supports tearing as a better option. Has to be stitched up after birth.

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19
Q

Forceps

A

A forceps delivery is a type of assisted vaginal delivery. It’s sometimes needed in the course of vaginal childbirth.
In a forceps delivery, a health care provider applies forceps — an instrument shaped like a pair of large spoons or salad tongs — to the baby’s head to help guide the baby out of the birth canal. This is typically done during a contraction while the mother pushes.

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20
Q

Fundus

A

The top of the uterus. The health care provider usually measures the fundus at or below the mother’s navel soon after the baby is born, and for several days after birth. This is done by feeling the mother’s abdomen. The fundus should feel firm and tight. This measurement is important to control bleeding after delivery.

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21
Q

Fetal heart rate (FHR)

A

Baby’s heart rate measured while still in mother’s uterus.

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22
Q

Fetal heart tones (FHT’s)

A

Baby’s heart rate sounds that can be heard with the Doppler or electronic fetal monitoring (EFM).

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23
Q

Fetal Scalp Electrode (FSE)

A

a monitor that is screwed into the baby’s scalp when it is still in the birth canal for the purpose of monitoring the fetal heart rate accurately. Sometimes the external Doppler is unable to capture the FHR. The amniotic sac must be ruptured so that the provider can attach the monitor to the baby.

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24
Q

Failure to progress (FTP), prolonged labor

A

Labor is not progressing because the cervix is not dilating or the baby is not descending.

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25
Q

Group beta streptococcus (GBS)

A

A type of bacteria in the vagina, rectum, or urine, which can be passed on to baby during labor; infant would need antibiotics. Mothers are checked before labor for bacteria and get antibiotics during labor, if bacteria are present.

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26
Q

Induction of labor (IOL)

A

Artificial staring of woman’s labor. May be due to maternal health concerns to expedite pregnancy, perceived distress of baby determined by electronic monitoring or biophysical, decreased fetal movement, or for going past due date. Often involves medications or artificial rupture of membranes (arom).

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27
Q

Infant of a mother with diabetes/Gestational Diabetes (GDM)

A

A baby whose mother has diabetes. The baby will be watched closely for signs of low blood sugar the first 24 hours after birth.

28
Q

Intrauterine device (IUD)

A

Birth control method inserted into the mother’s uterus.

29
Q

Intrapartum (IP)

A

The time when a woman is in active labor; during childbirth process.

30
Q

Large for gestational age (LGA)

A

Baby’s size is larger than normal for the age of the baby.

31
Q

Lumbar epidural (LEP)

A

Pain medicine used to cause a decrease of sensation (numbness) in a specific region of the body – the lumbar region, or lower back. Used for labor pain (when desired) and for Cesarean section births.

32
Q

Last menstrual period (LMP)

A

The first day of mother’s last menstrual period. The date is used to figure the baby’s estimated due date.

33
Q

Low transverse Cesarean section (LTCS)

A

Incision for this type of Cesarean section birth goes across the lower section of mother’s uterus, from side to side.

34
Q

Meconium (MEC)

A

Baby’s first bowel movement. Not unusual for meconium to be passed during or shortly after baby born. Thick, sticky and blackish consistency. When baby has a mec in utero the amniotic fluid will be stained green and NICU will need to be in the room when the baby is born in case of respiratory problems due to mec.

35
Q

Neonatal Intensive Care Unit (NICU)

A

Special care nursery for babies who are premature (born before 37 weeks) or who need specific care or observation.

36
Q

Neonatologist

A

A pediatrician (baby doctor) who has extra training in the care of infants who are sick or premature (born before 37 weeks).

37
Q

Non-stress test (NST)

A

External monitoring of fetal heart rate and uterine contractions. Evaluates baby’s well-being.

38
Q

Normal spontaneous vaginal delivery (NSVD)

A

Birth vaginally, without the use of forceps or vacuum.

39
Q

Obstetrician (OB)

A

Physician who is expert during pregnancy/labor and birth especially in women who have complicated pregnancies/labor or birth. Can perform cesarean sections. Works with nurse midwife as a team to consult on women who may be developing complications to provide best care.

40
Q

Occipito-anterior (OA)

A

Baby’s face is facing mother’s back coming down birth canal. Ideal position for least complicated and straight forward vaginal birth.

41
Q

Occipito-posterior (OP)

A

Baby’s face is facing mothers pelvis “sunny side up or face up”. This position of baby’s head associated with longer labors, more back pain for mom and higher rate of c-section. Birth attendant can sometimes adjust baby’s face position to face down or can be adjusted by changing mom’s position during the labor.

42
Q

Occipitofrontal circumference

A

Measurement of the baby’s head.

43
Q

Oligohydramnios (oligo)

A

Low amniotic of amniotic fluid amount surrounding baby during the pregnancy. Generally total cm of fluid 5 or less depending on gestational age. Can be a cause for concern or induction at term. Determined by ultrasound measurement.

44
Q

Perinatal

A

The period around childbirth from the 20th week of gestation to 1 month after birth.

45
Q

Perinatologist

A

An obstetrician-gynecologist who has received extra training in managing high-risk pregnancies
and deliveries.

46
Q

Perineum/“peri area”

A

The skin between the vagina opening and rectal area. Must be supported during birth of baby’s head to prevent tearing.Can be supported with warm compresses, gentle stretching with oil and gentle counter-pressure with emerging of baby’s head from vagina.

47
Q

Polyhydramnios (poly)

A

Too much fluid surrounding baby in amniotic sac. Can be associated with diabetic mothers not well controlled with blood sugars or be associated fetal kidney issues or birth defects. Can also be from mother drinking too much fluid. Generally 20 cm or more of fluid surrounding baby when diagnosed at term. Determined by ultrasound measurement.

48
Q

Pre-eclampsia

A

Elevated blood pressure in the last half of pregnancy accompanied by swelling of face, hands, and feet, and protein in the urine.

49
Q

Pregnancy induced hypertension (PIH)

A

High blood pressure related to the pregnancy.

50
Q

Premature labor (PML) or Preterm labor (PTL)

A

Active labor with cervical dilation or opening before 37 completed weeks of pregnancy.

51
Q

Premature rupture of membranes (PROM)

A

The “bag of waters,” or amniotic sac, breaks before 37 completed weeks of pregnancy.

52
Q

Repeat Cesarean section

A

Mother has had a previous Cesarean birth and now is having another Cesarean birth.

53
Q

Small for gestational age (SGA)

A

Baby’s size is smaller than normal for the age of the baby.

54
Q

Spontaneous rupture of membranes (SROM)

A

The “bag of waters,” or amniotic sac, breaks on its own; may feel like a big gush or a small trickle of fluid. Can be described as clear or meconium stained fluid.

55
Q

Sudden Infant Death Syndrome (SIDS)

A

Unexpected death of an apparently healthy infant, usually while asleep or in bed. The cause is not fully understood.

56
Q

Tocometry (TOCO)

A

External monitoring:used to monitor strength and frequency of uterine contractions with
electronic fetal monitor.

57
Q

Trial of Labor after Cesarean (TOLAC)

A

Offered in larger hospitals like Kaiser and some out of hospital settings like birth centers or home birth.

58
Q

Vacuum extraction

A

Used during the pushing phase of labor, a plastic cap-like device is applied to the baby’s head. A tube connects the cap to a vacuum pump that creates suction. During contractions, the provider gently pulls on a handle attached to the cap to assist the baby to come out of the vagina.

59
Q

Vaginal birth after cesarean section (VBAC)

A

For many women, VBAC is an option. In fact, research on women who attempt a trial of labor after cesarean (TOLAC) shows that about 60 to 80 percent have a successful vaginal delivery.

60
Q

Vaginal exam

A

An exam done to look at the inside and outside of the vagina. During the exam, the health care provider uses a gloved hand to gently check the cervix.

61
Q

Vaginal laceration

A

Natural, sometimes unpreventable tearing of perineum area. Thought to be preferable to an episiotomy. 3rd and 4th degree tears are fortunately rare with proper support of perineum during pushing of baby’s head.

62
Q

1st degree

A

these tears are the least severe, involving only the skin around the vaginal opening or perineal skin. May not require stitches/sutures. Can also be referred to as a “skid mark” or “road rash”.

63
Q

2nd degree

A

involve the perineal muscles — the muscles between the vagina and anus that help support the uterus, bladder and rectum. Second-degree tears typically require stitches and begin to heal within a few weeks.

64
Q

3rd degree

A

involve the perineal muscles and the muscle that surrounds the anus (anal sphincter). These tears sometimes require repair in an operating room — rather than the delivery room — and might take months to heal.

65
Q

4th degree

A

involve the perineal muscles and the muscle that surrounds the anus (anal sphincter). These tears sometimes require repair in an operating room — rather than the delivery room — and might take months to heal.

66
Q

Vertex

A

Baby is being born/coming through birth canal in head down position, which is optimal for vaginal birth