OVERVIEW OF OBSTETRICS Flashcards

1
Q

Interval between the birth of an infant after 20 weeks’ gestation (or 500 g birthweight) and the 28 completed days after that birth

A

PERINATAL PERIOD

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2
Q

The complete expulsion or extraction from the mother of a fetus after 20 weeks’ gestation (or 500 g birthweight)

A

BIRTH

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3
Q

< 500 g are not considered as births but are termed _______.

A

ABORTUSES

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4
Q

The weight of a neonate determined right after delivery expressed to the nearest gram

A

BIRTHWEIGHT

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5
Q

The number of live births per 1000 population

A

BIRTH RATE

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6
Q

Formula of birth rate:

A

no. of live births x 1000

total population

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7
Q

The number of live births per females aged 15 through 44 years

A

FERTILITY RATE

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8
Q

Formula for fertility rate:

A

no. of live births

15-44 y.o females

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9
Q

A birth whenever the newborn at or sometime after birth breathes spontaneously or shows any other sign of life or heartbeat

A

Live birth

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10
Q

Definite spontaneous movement of voluntary muscles

A

LIVE BIRTH

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11
Q

The absence of signs of life at or after birth

A

STILLBIRTH OR FETAL DEATH

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12
Q

Death of a liveborn neonate during the first 7 days after birth

A

EARLY NEONATAL DEATH

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13
Q

Death after 7 days but before 29 days

A

LATE NEONATAL DEATH

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14
Q

The number of stillborn neonates per 1000 neonates born (livebirths and stillbirths)

A

STILLBIRTH RATE OR FETAL DEATH RATE

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15
Q

Formula for stillbirth rate:

A

stillbirths x 1000

livebirths + stillbirths

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16
Q

The number of neonatal deaths per 1000 live births

A

NEONATAL MORTALITY RATE

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17
Q

Formula for neonatal mortality rate:

A

neonatal deaths_ x 1000

live births

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18
Q

The number of stillbirths plus neonatal deaths per 1000 total births

A

PERINATAL MORTALITY RATE

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19
Q

Formula for perinatal mortality rate:

A
stillbirths + neonatal deaths\_\_\_ x1000
total births (live birth + stillbirth)
20
Q

All deaths of liveborn infants from birth through 12 months of age

A

INFANT DEATH

21
Q

The number of infant deaths per 1000 live births

A

INFANT MORTALITY RATE

22
Q

Formula for infant mortality rate:

A

infant deaths x 1000

livebirths

23
Q

A newborn whose weight is <2500

A

LOW BIRTHWEIGHT

24
Q

Weight is < 1500 g

A

VERY LOW BIRTHWEIGHT

25
Q

Weight is <1000 g

A

EXTREMELY LOW BIRTHWEIGHT

26
Q

A neonate born any time after 37 completed weeks and up until 42 completed weeks of gestation

A

TERM NEONATE

27
Q

Early term

A

37 to 38 6/7 weeks

28
Q

Full term

A

39 to 40 6/7 weeks

29
Q

Late term

A

41 to 41 6/7 weeks

30
Q

A neonate born before 37 weeks

A

PRETERM NEONATE

31
Q

A neonate born anytime after completion of the 42nd week

A

POSTERM NEONATE

32
Q

A fetus or embryo removed or expelled from the uterus during the first half of gestation- 20 weeks or less, or in the absence of accurate dating criteria, born weighing < 500

A

ABORTUS

33
Q

The purposeful interruption of an intrauterine pregnancy that has the intention other than to produce a liveborn neonate and that does not result in a live birth

A

INDUCED TERMINATION OF PREGNANCY

34
Q

The death of a mother that results from obstetrical complications of pregnancy, labor, or the puerperium and from interventions, omissions, incorrect treatment, or a chain of events resulting from any of these factors

A

DIRECT MATERNAL DEATH

35
Q

A maternal death not directly due to an obstetrical cause. Death results from previously existing disease or a disease developing during pregnancy, labor, or the puerperium that was aggravated by maternal physiological adaptation to pregnancy

A

INDIRECT MATERNAL DEATH

36
Q

Death of the mother that results from accidental or incidental causes not related to pregnancy

A

NONMATERNAL DEATH

37
Q

The number of maternal deaths that result from the reproductive process per 100,000 live births

A

MATERNAL MORTALITY RATIO

38
Q

Other terms for maternal mortality ratio:

A

MATERNAL MORTALITY RATE

MATERNAL DEATH RATE

39
Q

The numerator in maternal mortality ratio includes:

A

number of deaths regardless of pregnancy outcome (live births, stillbirths, ectopic)

40
Q

The denominator in maternal mortality ratio includes:

A

number of live births

41
Q

The death of a woman, from any cause, while pregnant or within 1calendar year of termination of pregnancy, regardless of the duration and the site of pregnancy

A

PREGNANCY-ASSOCIATED DEATH

42
Q

A pregnancy-associated death that results from:

A

(1) complications of pregnancy itself
(2) the chain of events initiated by pregnancy that led to death
(3) aggravation of an unrelated condition by the physiological or pharmacological effects of pregnancy and that subsequently caused death

43
Q

Measures of obstetrical care:

A
  1. Perinatal mortality
  2. Infant deaths
  3. Maternal mortality
  4. Severe maternal morbidity
44
Q

Maternal mortality:

A
  1. Hemorrhage
  2. Gestational hypertension
  3. Infection
45
Q

TIMELY TOPICS IN OBSTETRICS (RISING CESAREAN DELIVERY RATE)

A
  1. The major indication for primary ceasarean delivery is dystocia
  2. The sharp decline in vaginal births after cesarean section (VBAC) is related to uterine rupture risk associated labor
  3. The cesarean delivery on maternal request (CDMR) contribute to the rise
  4. Near-term and term pregnancy labor induction is common-place and failed inductions contribute to the cesarean delivery