OB Flashcards
Pregnancy 20-36 weeks
> 3 contractions in 30 minutes
Dilated <2cm and no change
Preterm contractions
Pregnancy 20-36 weeks
> 3 contractions in 30 minutes
Dilated >2cm or changing
Preterm labor
Pregnant 18-22 weeks
Painless cervical dilatation
Delivery of previable baby
Cervical insufficiency
Menopause
Mean age is 51 years old
Perimenopausal is about 4 years
The age at which menopause occurs determined by genetics
What is the initial endocronologic change in menopause?
⬆️ FSH, ⬇️ INHIBIN
Pathognomonic sign of menopause?
Hot flushes
All menopausal effects and complications are relieved by estrogen except?
Loss of libido
Tx: IM testosterone
ESTROGEN
Continuous administration at physiologic replacement dose
- 625mg of conjugated equine estrogen
- 625mg of estrogen sulfate
- 5mg of micronized estradiol
- 05 transdermal estrogen
Peak of LH
10-12 hours prior
Due to estrogen
Ferning
Seen in the proliferative of the menstruak cycle
Ferning
Due to progesterone
Beading
Seen in the secretory phase of the menstrual cycle and pregnancy
Beading
Most predominant estrogen in pregnancy and serves as an indicator of fetal well being
Estriol
Substance responsible for the migration of the active follicle to the surface of the ovary as well rupture
Estrogen
Hormone of pregnancy is considered diabetogenic because of its antagonism on the cellular action of insulin, decreasing insulin utilization
Human placental lactogen/Human chorionic somatotropin
Nonpregnant reproductive years
Estradiol
Production site of estradiol
Ovary
Type of estrogen in pregnancy
Estriol
Production site of pregnancy
Placenta
Type of estrogen after menopause
Estrone
Production site of estrone
Adipose
Marker of fetal well being
Estriol
Produced exclusively by the fetus
Estriol
