Nov 28 Flashcards
why may ulcerative colitis get worse during pregnancy?
placental cytokines worsen colonic inflammation
what fetal risks are associated with ulcerative colitis?
Preterm delivery
Small for gestational age fetus
which ulcerative colitis drug is not used during breastfeeding?
sulfasalazine - not enough data yet
Women with ovarian cysts/masses are at increased risk for…
ovarian torsion
how do you deliver a non-viable fetus?
allow for vaginal delivery (less maternal complications than c-sections)
how do you deliver a breech non-viable fetus?
still vaginal delivery -breech doesnt matter in this case because the baby will die either way. Worry about moms outcomes and vaginal delivery is safer than c section
which group of people get labial adhesions?
young prepubescent girls (age 2-3)
What are the contributory factors to labial adhesions?
- low estrogens (seen in prepubescent girls)
- poor hygeine
- skin irritation
- trauma
treatment of labial adhesions?
If asymptomatic - let resolve on its own If symptomatic (itchy) - topical estrogen
Definition of active phase arrest of labour?
No cervical change in 4 or more hours with adequate contractions (>200 montevideo units)
No cervical change in 6 or more hours wiht inadequate contractions
Management of active phase arrest of labour?
C section
When should follow-up occur with a women who has just been diagnosed wiht a simple breast cyst?
2-4 months