OnlineMedEd: Gynecology - "Pelvic Anatomy" Flashcards
The _________ are supplied directly by the aorta on both sides.
ovaries
The _______ ovarian vein goes directly into the inferior vena cava.
right (it is closer to the IVC)
The ______________ contains the vascular supply to the ovary.
suspensory ligament of the ovary
Postpartum hemorrhage is defined as _____________.
500 mL during vaginal birth or 1,000 mL during c-section
Why is 1,000 mL of blood loss not as significant in a pregnant woman?
Pregnant women have a larger circulating volume.
How can you treat postpartum hemorrhage (in order of what you should try)?
1) . Uterine massage
2) . Medications (oxytocin, Hemabate, Methergine)
3) . Balloon tamponade –an inflated Foley catheter
4) . Uterine artery ligation
5) . Internal iliac artery ligation
6) . Hysterectomy
______________ need to be removed during hysterectomy.
The uterosacral ligaments
The ______________ are sometimes mistaken for the ureters during hysterectomies.
uterosacral ligaments
What ligament anchors the uterus anteriorly and posteriorly?
The cardinal ligament
Weakening of the cardinal ligament can cause _____________.
pelvic floor relaxation
How can you diagnose pelvic floor relaxation?
During a speculum examination, you will see either the bladder bulging into the vaginal wall from the anterior aspect (cystocele) or the rectum from the posterior side (rectocele). The cervix being too close to the surface indicates uterine inversion.