Obstetrics Flashcards
What are the degrees of vaginal lacerations?
1st degree: Skin
2nd degree: Muscle
3rd degree: anus
4th degree: Rectum
Why do pregnant women get anemia?
Dilutional effect, RBC rises 30% but volume rises 50%
What is Vernix?
Cheesy baby skin
What is Meconium?
Green baby poop
What is Lochia?
Endometrial slough
What is normal blood loss during a vaginal delivery?
500 mL
What is normal blood loss during a C- section?
1L
How do you treat A1 Gestational DM?
Diet
How do you treat A2 Gestational DM?
Insulin
What are identical twins?
Egg split into perfect halves “monochorionic”
What are fraternal twins?
Multiple eggs fertilized by different sperm
What is ovarian hyperstimulation syndrome?
Weight gain and enlarged ovaries after clomiphene use
Who makes the trophoblast?
Baby
Who makes the cytrophoblast?
Mom=> GnRH, CRH, TRH, Inhibin
Who makes the Syncitotrophoblast?
Mom and baby => HCG, HPL
When does implantation occur?
1 week after fertilization
When is B-HCG found in urine?
2 weeks after fertilization
What is the function of Estrogen?
Muscle relaxant, constipation , ^protein production, irritability, varicose veins
What is the function of Progesterone?
^ appetite, ^acne, dilutional anemia, quiescent uterus, pica, hypo TN, melasma
What makes progesterone <10wk old?
Corpus luteum
What makes progesterone > 10 wk old?
Placenta
What is the function of B-HCG?
Maintains corpus luteum, sensitizes TSHr => act hyperthyroid (to ^BMR)
What makes B -HCG?
Placenta
How fast should B-HCG rise?
Doubles every 2 days until 10 wks (when placenta is fully formed)