OB-Gyne Flashcards
Uterus confined to pelvis
12 weeks
Uterus at symphysis pubis
12 weeks
Uterus at umbilicus
20 weeks
Most common cause of postpartum hemorrhage
Uterine atony
Uteroplacental flow in late pregnancy
450-650 ml/min
Beading
Progesterone
Ferning
Estrogen
Hyperpigmentation
MSH
Most common surgical emergency in pregnancy
Appendicitis
Bilateral postpartum pituitary necrosis
Sheehan syndrome
Bluish discoloration of cervix and vagina
Chadwick’s sign
Softening of uterus
Hegar’s sign
Softening of the cervix
Goodell’s sign
Increase in cardiac output
30-50%
Iron requirement
1g/d
Normal NSD blood loss
500cc
Normal CS blood loss
1000cc
Most common cause of heart disease in pregnancy
RHD
CHF
Periods of increase in cardiac output
28th week (peak)
Labor
Postpartum
Puerpueriun
Total weight gain
24 lbs/10.9kg
Diabetogenic hormones
HPL
Cortisol
Placental insulinase
FHT
110-150bpm
FHT on doppler
10-12 weeks
FHT on stethoscope
20 weeks
Most accurate UTZ sign of pregnancy
Crown rump length
Ossification center on X-ray
16 weeks
Overlapping suture lines on X-ray
Spalding sign
Uterine enlargement
B HCG >100,000
H. Mole
Dec fundic height
Spalding sign
IUFD
Fundic height equivalent to age of gestation
18-32 weeks
Tocolytics
Terbutaline
Ritodrine
Bishop score
Dilatation Effacement Consistency Station Position
Favorable cervix
> 8
Absent variability
Marked variability
> 25 bpm
Begin and end with contraction
Early deceleration
Early deceleration
Head compression
Deceleration occurring anytime
Variable deceleration
Deceleration at peak of contraction
Late deceleration
Variable deceleration
Cord compression
Late deceleration
Uteroplacental insufficiency
BPD passes inlet
Engagement
Requisite for birth
Descent
Essential for labor
Internal rotation
Lateral deflection of fetal head
Asynclitism
Brachial plexus injury
Erb’s palsy
Labor onset to complete dilation
Stage 1
Stage 1 nullipara
10-12hrs
Stage 1 multipara
6-8hrs
Arrested by sedation and analgesia
Preparatory division
Unaffected by sedation and analgesia
Dilatation division
Cardinal movements of labor
Pelvic division
Delivery of infant to delivery of placenta
3rd stage of labor
Placental separation
Uterus globular and firmer
Sudden gush of blood
Uterus rises in the abdomen
Cord lengthening
Uterus globular and firmer
Calkin’s sign
Schultze
Central
Duncan
Peripheral
Laceration up to anal sphincter
3rd degree
Laceration up to rectal mucosa
4th degree
Pudendal block
Posterior to ischial spine
Uncommon extension of episiotomy
Mediolateral
Pressure on the chin or occiput for neck extension
Modified Ritgen’s maneuver
6-8 weeks postpartum
Puerpuerium
Lochia >8 days
Alba
Most common puerperal infection
Mastitis
Most common cause of Mastitis
Staph aureus
Major predisposing factor for pelvic infection
CS
Most common fetal factor causing abortion
Trisomy
Most common maternal factor causing abortion
Infection
Abortion started but did not progress
Uterine size compatible with AOG
Closed external OS
Threatened abortion
Continuation of pregnancy impossible
Vaginal bleeding
Pain
Dilated internal OS
Inevitable abortion
Expulsion of fleshy mass with relief of pain
Closed cervical OS
Complete abortion
Most common type of abortion
Incomplete abortion
Dead fetus retained for more than 4 weeks
Missed abortion
Brownish discharge
Regression of breast changes
Decreased uterine size
Negative Doppler
Missed abortion
Degeneration and partly hyperplastic changes in chorionic villi
Hydatidiform mole
Abdominal enlargement
HCG >100,000
Hydatidiform mole
Term uterus weight
1100g
