OB Gen 2 Flashcards
Phases of parturition
Quiscence, activation, stimulation, involution
Mmgmt for variable deceleration
Amnioinfusion
Mechanical stretching of the cervix that produces increased uterine activity
Fergusson reflex
- Hand is used yo exert forward pressure on the chin of the fetus through perineum just front of the coccyx
- and other hand exerts pressure posteriorly against occiput
Ritgen maneuver
4th degree laceration of anal canal:
Recatl mucosa
Third degree laceration of birth canal
Anal sphincter
Second degree laceration of birth canal
Fascia and perineal muscles
First degree laceration of birth canal
Fourcheyte, perineal skin , vaginal mucous membrane
Puerperium lasts for how many weeks
6
Decidua differentiates when?
2-3 days after delivery
Uterus returns to true pelvis when?
2 weeks
Endometrium is restored when?
3 weeks
Uterus reaches non gestational size when?
4 weeks
When is VZV Ig given?
Neonates born to mothers whi have clinical evidence of infection 5 days before or up to 2 days after delivery
Therapeutic level of MgSo4
4-7 mEq/L
Progestin only pill with 0.5mg progesterone considered safe and appropriate for breastfeeding women
Minipill
Used in delivery of aftercoming head
Piper’s forceps
Mc forceps to deliver babies with molded head in nulliparas
Simpson
Used to deliver babies with rounded head in multiparas
Tucker Mclane
For rotating the head with occiput transverse (forceps)
Kleiland
Used for rotating head in transverse arrest
Bartob
