Oh god make it stop- OB Flashcards
_________ is a tocolytic used to delay the progression of labor to allow for the benefit of betamethasone to hasten pulmonary maturation.
Nifedipine
__________ are medications used to suppress premature labor.
Tocolytics
Intra-amniotic infection rx
Intra-amniotic infection cannot be cured without delivery
Indomethacin is contraindicated at ?
33 weeks due to risk of premature ductus arteriosus closure.
associated with oligohydramnios.
Magnesium sulfate works by ?
competing with calcium entry into cells.
Terbutaline is a ?
beta-adrenergic agent. Side effects include tachycardia, hypotension, anxiety and chest tightening or pain.
Terbutaline is bad when?
used over 48-72 hours.
mom is tachy cardiac
mom is diabetic
When is Mg sulfate great
under 32 weeks EGA when delivery is likely
Who gets progesterone therapy
hx of preterm birth
short cervix
High levels of magnesium sulfate may cause
respiratory depression (12-15 mg/dl) or cardiac depression (>15 mg/dl)
Prior to developing respiratory depression diminished or absent deep tendon reflexes (areflexia).
Fetal fibronectin is good because
has a negative predictive value of 99.2% in symptomatic women — 99 out of every 100 patients with a single negative test result will not deliver in the next 14 days
what ratio helps you ddx preeclampsia
protein/ creatinine >0.3
or 24 protein > 300
Can you ddx appendicitis w/ ultrasound
YES! esp helpful in a prego
if US fails, then MRI
When is Ca- 125 diagnostic
in a post menopausal lady.
Postmenopausal lady w/ ovarian cyst and negative Ca-125 managment
Observation
Chorioamnionitis rx
deliver the baby vaginaly (unless there was some other reason you were gonna do c-section)
Most common side effect to fluoxetine
insomnia
SSRIs and breast feeding
Current recommendations state that SSRI medications can be safely used during lactation.
Third trimester maternal use of SSRIs has been associated with what in baby
abnormal muscle movements (extrapyramidal signs or EPS) withdrawal symptoms --> agitation abnormal muscle tone tremor sleepiness severe difficulty breathing difficulty in feeding.
Premenstrual Dysphoric Disorder
severe form of PMS that includes physical and behavioral symptoms that usually resolve with the onset of menstruation.
occur in the luteal phase and are absent in the beginning of the follicular phase.
Post partum blues symptoms
insomnia easy crying depression, poor concentration irritability labile affect and anxiety Symptoms often last a few hours per day and are mild and transient.
The primary risk factor for preterm rupture of membranes is
genital tract infection, especially associated with bacterial vaginosis.
Variable decelerations are a result of ?
cord compression
Antibiotic therapy with _________ given to patients with PPROM has been found to prolong the latency period by 5-7 days, & ↓ incidence of maternal amnionitis and neonatal sepsis.
ampicillin and erythromycin
