OB Flashcards
minimal vag bleeding
cervical os closed
no prod of concepts passed
visible pregnancy
threatened abortion
no vag bleeding
cervical os closed
no prod of concepts passed
gestational sac/ fetal demise
missed abortion
vag bleeding
cervical os dilated
no prod of concepts passed
nonviable pregnancy
inevitable abortion
vag bleeding
cervical os dilated
some prod of concepts passed
nonviable pregnancy
incomplete abortion
vag bleeding
cervical os closed
all prod of concepts passed
empty uterus
complete abortion
intermittent pain with contractions
small amp of blood tinged mucus (bloody show)
normal labor
PAINFUL vag bleeding abdominal pain HARD (hypertonic)/tender uterus w/ frequent contractions fetal distress US: retroplacental hemorrhage
abrutio placenta
PAINLESS vaginal bleeding upon ROM
fetal distress
US: velamentous cord insertion
vasa previa
PAINLESS BRIGHT RED VAGINAL BLEEDING
soft and contender uterus
US: placenta covering os
vaginal exam in C/I
placenta previa
abdominal pain +/- vag bleeding fetal distress hypotonic uterine contractions loss of fetal station palpable fetal parts on the abdomen
uterine rupture
Assoc conditions w. polyhydramnios
maternal DM
anencephaly, hydrocephalus
tracheoesophageal fistula
duodenal atresia
clinical features of polyhydramnios
uterus large for dates
difficulty palpating fetal parts and hearing FHR
Stage1
start: onset of labor
end: full dilation 10cm
descent of fetal head
stage 2
start: 10cm dilation
end: delivery of baby
30min-3hrs - 1st time
5-30mins - multiparous
stage 3
start: delivery of baby
end: delivery placenta
stage 4
postpartum period
intraplacental villous lakes
placenta accreta
increased AFP
open neural tube defects
abd wall defect
multiple gestation
decreased AFP
Downs
missed abortion
L:S >2 indicates
maturity
L:S <2
administer cortisol to increase lecithin
screening test done at 11-16wk
urine culture - UTI
screening test done at 24-28
GDM- 1hr glucola
screening test done at 35-37
Group B strep - tx w/ PCN if pos
Rh- mom carries Rh+ fetus
Dx and Rx
Rh disease
Rhogam Rh IgG @28wk
leading cause of maternal death in T1
hx of PID
amenorrhea
abnormal vag bleeding
abdominal pain
ectopic pregnancy
Hyperemesis Gravidarum
ketonemia
hypochloremic metabolic alkalosis
hypokalemia
Risk factors for Vasa Previa
IVF pregnancy
multiple gestation
Risk factors for abruptio placenta (At least 4)
abdominal trauma Maternal HTN Multiparity >35 maternal age prior placental abruption uterine anomaly rapid decompression
risk factor for uterine rupture
uterine scarring
prolonged abnormal FHR
acute onset of severe constant abdominal pain
hypotonic uterine contractions
Uterine rupture
Pre eclampsia features
hyperreflexia clonus
pulmonary edema
facial/ bipedal edema
cerebral or visual disturbances
preeclampsia + tonic clonic seizures
Eclampsia
Oligohydramnios
> 1.5 to 2L of amniotic fluid
polyhydramnios
Oligohydramnios obstetric complications
IUGR
Pulmonary hypoplasia
cord compression
Risk factors for macrosomia (>P90)
maternal obesity
GDM
prolong gestation
multiparity
IUGR
intrautereine growth retardation
risk factors for IGUR
maternal: malnutrition smoking drug abuse alcoholism
most common cause of abnormal progression of labor
inadequate pushing
