Obgyne Flashcards
Major risk factors of placenta previa ?
• Previous placenta previa
• Previous cesarean birth
• Multiple gestation
Hormone that confirm ovulation?
Progesterone
USPSTF dose of folic acid in milligrams?
0.8
Bacterial infection associated with IUD ?
Actinomyces
complications of uterine conservation with placenta left in situ is ?
Bleeding
in utero resuscitation measures ?
- lateral positioning of the mother
- O2
- IV fluid
- stop oxytocin
- administer toocolytic drugs.
Medications that can affect fetal heart rate:
- Mg Sulfate:
- Epidural analgesia
- Oxytocin
- Mg Sulfate: causes minimal or reduced variability
- Epidural analgesia: causes maternal hypotension —> uteroplacental insufficiency —> late or
prolonged decelerations - Oxytocin: late or prolonged decelerations + uterine hyperstimulation
Degrees of perineal tears
SMSR not ASMR ðŸ¤
- First degree: Skin
- Second degree: Muscle
- Third degree: Sphincter
- Fourth degree: Rectal mucosa
Polyhydramnios + Ruptured membrane + Bradycardia = ?
Cord prolapse
HELPERR for Shoulder Dystocia
H: Call for Help
E: Evaluate for Episiotomy
L: Legs – McRoberts Maneuver (Hyperflexion of the thighs onto the abdomen and abduction)
P: Suprapubic Pressure
E: Enter: rotational maneuvers
R: Remove the posterior arm
R: Roll the patient to her hands and knees
Contraindications to vaginal delivery
- Complete placenta previa
- Herpes simplex virus with active genital lesions or prodromal symptoms
- Previous classic uterine incision or extensive transfundal uterine surgery
- Untreated human immunodeficiency virus infection
- Transverse lie
Prolonged latent phase ?
- In nulliparas a 20 hours
- In multiparas a 14 hours
Patient on tocolytic beta-mimetics (terbutaline), what is the most side effect?
Tachycardia
Screening for pregnancy for asymptomatic Bacteriuria according to the U.S. Preventive Services Task Force (USPSTF)? Weaks
12 wks
DIC+respiratory=
amniotic fluid embolism
