OB Miscellaneous Flashcards
If a thin endometrial stripe is seen, what does that mean?
Uterus is EMPTY
What will be seen on US with a Monochorionic Monoamniotic gestation?
NO divide between fetuses
What will be seen on US with a Monochorionic Diamniotic gestation?
T sign
What will be seen on US with a Dichorionic Diamniotic gestation?
Lambda sign
Oligohydramnios is often due to?
Uteroplacental insufficiency
With IUFD, if there are abnormalities seen on the placenta/vessels, what etiologies should be explored?
Infectious
How may Cervical Insufficiency present?
- Cervical length < 2.5 cm or dilated early
- Recurrent pregnancy losses in the 2nd trimester
How may Cervical Insufficiency present?
- Cervical length < 2.5 cm or dilated early
- Recurrent pregnancy losses in the 2nd trimester
What is a possible treatment option for Cervical Insufficiency?
Cerclage placement = stitch to keep cervix closed
What is a contraindication for giving Tranexamic acid?
Hypercoagulability
What is a contraindication for giving Methylergonovine?
Hypertension
What is a contraindication for giving Carboprost?
Asthma
Besides Oxytocin, what are 3 other drugs that can be given for postpartum hemorrhage?
- Tranexamic acid
- Methylergonovine
- Carboprost
If a mother has Herpes Simplex Virus infection of the genitals but NO active lesions, what is the treatment?
Acyclovir from 36 weeks up to delivery
If a mother has Herpes Simplex Virus infection of the genitals with ACTIVE lesions, what is the treatment?
C-section at time of delivery
How may Antiphospholipid Antibody Syndrome present?
- Thrombotic events
- Recurrent pregnancy losses
- Low platelets
How may Antiphospholipid Antibody Syndrome present?
- Thrombotic events
- Recurrent pregnancy losses
- Low platelets
What are 3 possible antibodies that can be seen with Antiphospholipid Antibody Syndrome?
- Lupus anticoagulant
- Anticardiolipin
- Anti-beta2-glycoprotein1
What is unique about the antibodies with Antiphospholipid Antibody Syndrome?
They can cross react and cause a FALSE POSITIVE VDRL
What is the treatment for Antiphospholipid Antibody Syndrome?
Low molecular weight heparin
What is Asherman Syndrome?
Prior intrauterine surgeries
–> synechiae (adhesions form)
–> endometrial scarring
What are the signs of Asherman Syndrome?
Amenorrhea and Infertility following intrauterine surgeries
What is the result of the Progesterone Withdrawal test with Asherman Syndrome?
Will NOT induce bleeding
When will Intrahepatic Cholestasis of Pregnancy present?
3rd trimester
How does Intrahepatic Cholestasis of Pregnancy present?
3rd trimester itching of the hands and feet with no rash present
What is the treatment for Intrahepatic Cholestasis of Pregnancy?
Ursodeoxycholic acid+ delivery at 37 weeks
Postpartum Femoral Neuropathy can occur after what?
Prolonged hip flexion during 2nd stage of labor that causes entrapment of the femoral nerve
How may Postpartum Femoral Neuropathy present?
- Decreased patellar reflex
- Decreased thigh sensation
- Decreased hip flexion/knee extension strength
