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COMAT - OBGYN > Postpartum Conditions/Labor Issues > Flashcards

Postpartum Conditions/Labor Issues Flashcards

1
Q

What defines Uterine Tachysystole?

A

More than 5 contractions in a 10 minute time

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2
Q

What occurs with Uterine Tachysystole?

A

Too many contractions with not enough time between them causes an interruption in blood flow and oxygen to the fetus which will compromise them

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3
Q

What will be seen on FHR monitoring with Uterine Tachysystole?

A

Decelerations

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4
Q

What should be done if Uterine Tachysystole is present?

A

Discontinue the utertonics

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5
Q

How will Postpartum Endometritis present?

A

Maternal Fever
Malodorous discharge
Uterine tenderness

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6
Q

How will Postpartum Endometritis present?

A

Maternal Fever
Malodorous discharge
Uterine tenderness

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7
Q

What is the treatment for Postpartum Endometritis?

A

IV antibiotics (clindamycin/gentamicin) until afebrile for 48 hours

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8
Q

What is a possible complication of Postpartum Endometritis?

A

Septic Pelvic Thrombophlebitis

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9
Q

How does Septic Pelvic Thrombophlebitis arise?

A

Pelvic infection that spreads to the pelvic vein and damages the vein wall that will then form a clot/embolus that is infected

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10
Q

What are the signs of Septic Pelvic Thrombophlebitis?

A

Abdominal pain and HECTIC fevers that are UNRESPONSIVE to antibiotics

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11
Q

What are the signs of Septic Pelvic Thrombophlebitis?

A

Abdominal pain and HECTIC fevers that are UNRESPONSIVE to antibiotics

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12
Q

What is Sheehan Syndrome?

A

Pituitary ischemia and necrosis that causes Anterior Pituitary Insufficiency

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13
Q

How may Sheehan Syndrome present?

A

Failure to lactate due to decreased prolactin from the anterior pituitary

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14
Q

How may Sheehan Syndrome present?

A

Failure to lactate due to decreased prolactin from the anterior pituitary

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15
Q

Besides failure to lactate, how may Sheehan Syndrome present?

A

Weakness/lethargy
Cold intolerance
Menstrual irregularities
Genital atrophy

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16
Q

Initial test if you suspect Sheehan Syndrome?

A

Provocative Hormonal testing

17
Q

Best test if you suspect Sheehan Syndrome?

A

MRI of the pituitary

18
Q

Treatment for Sheehan Syndrome?

A

Replace deficient hormones

19
Q

How much blood must be lost to be considered a postpartum hemorrhage?

A

> 1000 mL of blood

20
Q

What is the most common cause of postpartum hemorrhage?

A

Uterine Atony

21
Q

What are some risk factors for Uterine Atony?

A
  • Uterine stretch like with multiple gestations
  • Exhausted uterus from uterotonics/long labor
22
Q

How will Uterine Atony present?

A

Postpartum hemorrhage with a soft and boggy uterus ABOVE umbilicus (enlarged)

23
Q

What is the initial treatment for Uterine Atony?

A

Uterine massage + Oxytocin

24
Q

What is the initial treatment for Uterine Atony?

A

Uterine massage + Oxytocin

25
Q

Retained placental tissue can also cause a postpartum hemorrhage. What should be done to diagnose?

A

Inspect placenta and uterus +/- US

26
Q

What are risk factors for a Retained Placental Tissue causing postpartum hemorrhage?

A

Placenta accreta/increta/percreta or other anomalies of the placenta

27
Q

Placenta Accreta

A

Placenta attaches too firmly to endometrium of the uterus

28
Q

Placenta Increta

A

Placenta invades and attaches to the uterine muscle/myometrium

29
Q

Placenta Percreta

A

Placenta invades the uterine wall and attaches to nearby organs like the bladder

30
Q

What is seen with a Uterine Inversion?

A

Vaginal mass protruding = uterine fundus prolapsed through cervix and vagina

31
Q

The risk of uterine rupture increases with?

A

More uterine surgeries

32
Q

What is the most common sign of uterine rupture?

A

Loss of fetal station

33
Q

What is the most common sign of uterine rupture?

A

Loss of fetal station

34
Q

What may be felt on abdominal exam with a uterine rupture?

A

Fetal parts

35
Q

What is the treatment for a Uterine inversion?

A

Replace the uterus into a normal position

COMAT - OBGYN (12 decks)

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