Obs & Gyne Flashcards
What is shoulder dystocia
1)Pathophysiology
2)Common symptoms
3) treatment
What are the stages of labour
1) onset of regular contraction to full dilation
2) full dilation to birth of baby
3) birthday of baby to delivery of placenta
What are the 3 PāS of labour
Power - contraction from uterus
Passage - cervix dilation + pelvis movement
Passenger - baby descend and rotates
What are the signs of active labour
Needing to poo
Increase contraction + more strong
Blood show
Rupture of membrane
Anal dilation
Buldging vagina
What are the signs of placenta separation (normal)
Small vagina blood
Uterus well contracted
Cord lengths
Ectopic pregnancy
2) sign and symptoms
3) treatment plan
4) risk factors
Pregnancy not implanted in uterus normally folpean tubes, between 4-12 weeks, causes remodelly of tubes ( epithelial cell change for increase RBC, growth = compression, and rupture.
2) Symptoms
- pain in abdomen/ pelvic area
- shoulder tip pain
- missed last period
- vaginal spotting
- shock if ruptured
3) convay pain relief ( prealert if hemodynamic unstable add = fluid, txa, )
4) pelvic inflammatory disease or endometriosis, IVF previous eptopics,
What is Meconium, if this is seen prior to or during labour - what does this mean
What is endometriosis
1) pathophysiology
2) signs and symptoms
3) treatment
1) when urtine cells grow or develop outside the uterus ( pouch of Douglas - uterus and bowel) or ovaries ( chocolate cyst)
2) dull cyclic pain, heavy or painful periods at the start then the cells cause inflammation to other issues that they have attached too - scar tissue ( pain 24/7)
3) pain relief
What is ectopic pregnancy
Pathophysiology
2) symptoms
3) treatment
4) risk factors
Pregnancy not implanted in uterus normally folpean tubes, between 4-12 weeks, causes remodelly of tubes ( epithelial cell change for increase RBC, growth = compression, and rupture.
2) Symptoms
- pain in abdomen/ pelvic area
- shoulder tip pain
- missed last period
- vaginal spotting
- shock if ruptured
3) convay pain relief ( prealert if hemodynamic unstable add = fluid, txa, )
4) pelvic inflammatory disease or endometriosis, IVF previous eptopics,
What is ectopic pregnancy ( pathophysiology)
2) symptoms
3) treatment
4) risk factors
Pregnancy not implanted in uterus normally folpean tubes, between 4-12 weeks, causes remodelly of tubes ( epithelial cell change for increase RBC, growth = compression, and rupture.
2) Symptoms
- pain in abdomen/ pelvic area
- shoulder tip pain
- missed last period
- vaginal spotting
- shock if ruptured
3) convay pain relief ( prealert if hemodynamic unstable add = fluid, txa, )
4) pelvic inflammatory disease or endometriosis, IVF previous eptopics,
What is the basic maternity history we need for everyone
Trimester - weeks pregnant
Expected - date ( last menstral )
Complications- baby - movement, scans
Mom - diabetes, eclampsia
Previous - h many births + many pregnancy + abnormal births + miscarriage + quick births
What is the immediate history you need for a patient who is in suspected labour
Contractions
Water show/ mucus plug
What are the signs that birth is imminent - question history take
Contractions - when started, how long are they, far apart
Waters - break, mucus/blood show (time+ consistency)
Document
Birth time
Any complications
Any meconium
Blood loss
Placenta delivery time + intact?
When sign mean you must request backup for a labour job
Contractors - 1to2 minutes apart
Urge to push
Crowning
Vulging vagina
More births = faster delivery
What are the 4 different types of breech positions
Frank breech ( bum with legs to the sky)
Flexed ( cross legged bum first)
**Footling*ā ( 1/2 feet first)
Transverse ( only arm/ shoulder showing)
