Obstetric Patho 2 Flashcards

1
Q

What is colostrum?

A

The initial breast milk produced during late pregnancy

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2
Q

Where is pre-eclampsia thought to originate from?

A

From Defects or detrimental changes within the placenta

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3
Q

The transition from pre-eclampsia and eclampsia is marked by the onset of….

A

Seizures

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4
Q

Postpartum preeclampsia can manifest up to ___ weeks postpartum

A

6 weeks

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5
Q

What serious complications can high BP in preeclampsia lead to?

A
  • hemorrhagic stroke
  • retinal detachment
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6
Q

How does high blood pressure in pre- eclampsia contribute to cerebral edema or potential hemorrhage?

A

The high BP increases hydrostatic pressures in the cerebral vessels

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7
Q

Preeclampsia can manifest as RUQ pain, this tells us that the liver is being affected. What liver complications can be due to preeclampsia?

A
  • hepatic rupture
  • subcapsular hemmorrhage
  • liver failure
  • hepatomegaly
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8
Q

What is Disseminated Intravascular Coagulation (DIC)

A

A condition that is characterized by systemic coagulation followed by sever bleeding due to consumption of clotting factors

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9
Q

What is HELLP syndrome?

A

The sever progression of Preeclampsia involving
-hemolysis
- elevated liver enzymes
- and low platelet count

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10
Q

How does preeclampsia lead to systemic edema?

A

Proteinuria decreases intravascular proteins such as albumin, which reduces oncotic pressure , resulting in edema

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11
Q

What is placenta previa?

A

The placenta implanting in the lower part of the uterus, covering the cervix partially or fully

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12
Q

Why is hemolysis apart of the HELLP syndrome?

A

This is because the high blood pressure damages the red blood cells hence HEMO-LYSIS

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13
Q

When does bleeding typically occur with a placenta previa individual

A

Third trimester

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14
Q

What fetal risks do placenta previa potentially cause?

A
  • preterm birth
  • respiratory distress syndrome
  • meconium aspiration
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15
Q

What are the causes/mechanisms for placental abruption

A
  • trauma
  • prolonged pressure on VC
  • preeclampsia
  • abnormal uterine anatomy
  • smoking
  • short umbilical cord
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16
Q

What are the risk factors for uterine rupture?

A
  • previous uterine surgery
  • congenital uterine anatomy
  • small maternal pelvis
  • excessive fetal growth
17
Q

What is the presentation and clinical signs of uterine rupture?

A
  • sudden sharp pain w/ fetal distress during labour
  • pain can refer to the shoulder
  • increased abdominal tension
  • palpable fetal parts
18
Q

Why does uterine rupture cause referred Paine to the uterus?

A

Due to the irritation of the diaphragm by intra abdominal bleeding

19
Q

What is shoulder dystocia?

A

When the fetal shoulders fail to pass below the pubic symphysis after the delivery of the head

20
Q

What material factors increase the risk of shoulder dystocia?

A
  • macrosomia
  • maternal diabetes
  • obesity
  • anatomical variations in the maternal pelvis
21
Q

Fetal complications of shoulder dystocia

A
  • hypoxic injuries
  • physical injuries on the clavicle or humerus
  • possible pneumothorax
22
Q

Maternal complications with shoulder dystocia?

A
  • vaginal or perineal tearing
  • hemorrhage
  • uterine rupture
23
Q

What is the cause of brachial plexus palsy?

A
  • Over aggressive manipulation during delivery
  • excessive flextion of extension of the head
24
Q

Symptoms of brachial plexus palsy

A
  • transient or permanent nerve Paine
  • paralysis or weakness in effected arm
25
Q

What can cause fetal malpositioning?

A
  • lax abdominal and uterine muscles
  • uterine anomalies
  • placenta previa
26
Q

What are risk factors for cord prolapse?

A
  • prematurity or low birth weight
  • polyhydraminos
  • multiplies
  • malpresentation (mal position)
27
Q

What is considered significant blood loss after delivery?

A

500 ml after vaginal deliver or 1000 ml after c section