Obstetric Complications Flashcards
define preterm labor
regular uterine contractions with cervical changes
what must cervical length be to be considred preterm labor?
less than 2.5 cm
what is something you can measure to see if someone has preterm labor?
cervicovaginal fetal fibronectin
what three things should be given in preterm labor?
corticosteroids
abx
magnesium sulfate
what is difference in preterm premature ROM and premature ROM?
preterm means its early…premture ROM just means it happened without labor
name three ways to diagnose ROM
nitrazine positive
ferning
placental a macroglobulin-1 assay
what do you give with PPROM?
corticosteroids and abx
how do abx (penicillin) help PPROM?
delay labor actually
what is cervical insufficiency?
painless cervical dilation leading to recurrent second trimester pregnancy losses/births with normal pregnancies
what is a way to acquire cervical insufficiency?
trauma from delivery or DandC trauma
what are congenital factors that may lead to cervical insufficiency?
collagen disorders
DES exposure
when does HTN onset to be considered gestational?
after 20 weeks gestation and no proteinuria
define preeclampsia?
htn develops with proteinuria after 20 weeks gestation
define eclampsia
HTN with proteinuria that leads to tonic clonic seizures
what can be found with preeclampsia but isnt specific finding?
edema
when is preeclampsia considered severe?
BP 160/110 at minimum
with preeclampsia severe, what is fetus at risk for?
growth abnormalities
what are findings in mother with severe preeclampsia?
liver function disturbance, renal abnormalities, low platelets
what is thought to cause preeclampsia?
endothelial disturbances
what pre existing coniditions increase risk for preeclampsia?
HTN, diabetes, renal disease
what are some common presenting signs for severe preeclampsia?
RUQ pain, HA< cyanosis, oliguria
what do women with preeclampsia hae long term increased risk for?
CV disease
what is HELLP syndrome?
variant of severe preeclampsia….that has hemolysis, elevated liver enzymes and low platelets
if woman gets HELLP syndrome, what should you do?
deliver rn
