Obstetrics Flashcards
Classic ultrasound and gross appearance of complete hydatiform mole
Snowstorm on ultrasound. “Cluster-of-grapes” appearance on gross examination
1st causes of 3rd Trimester Bleeding
Placenta abruption and Placenta Previa
Chromosome pattern of a complete mole
46,XX
Molar pregnancy containing fetal tissue
Partial Mole
Symptoms of placental abruption
Continues, painful vaginal bleeding.
Symptoms of Placenta Previa
Self-limited, painless vaginal bleeding
When should a vaginal exam be performed with suspect Placenta Previa?
NEVER
ATB with Teratogenic effects
Tetracycline
Fluoroquinolones
Aminoglycosides
Sulfonamides
Medication given to accelerate fetal lung maturity
Betamethasone or Dexamethasone x48 hs.
The most common cause of postpartum hemorrhage
Uterine Atony
Treatment for postpartum hemorrhage
Uterine masagge; if it fails, give Oxytocin
Typical ATB for GBS prophylaxis
IV Penicillin or Ampicillin
A patient fails to lactate after an emergency C-section with marked blood loss!
Sheehan’s syndrome (postpartum pituitary necrosis )
Uterine bleeding at 18 weeks’ gestation; no products expelled; cervical os open.
Inevitable abortion!
Uterine bleeding at 18 weeks’ gestation; no products expelled; cervical os closed.
Threatened abortion!