Prolonged Pregnancy Flashcards
When are dates unreliable x4
Use of COC
Irregular cycle length
Uncertain of LNMP
Conception during lactation amenorrhea
2 fetal risk factors of prolonged pregnancy
Adrenal hypoplasia
Anencephaly with abnormalities in fetal HPA axis
4 maternal risk factors of prolonged pregnancy
Previous prolonged pregnancy
Primigravida
Advanced maternal age
Placental sulfatase deficiency
3 hormones produced during labor
Estrogen
Prostaglandin
Cortisol
Function of cortisol in labor
Stimulate production of prostaglandin
When to induce in prolonged pregnancy and what to monitor
41 weeks
Monitor fetal status
Other causes of SFH and GA discrepancy x2
Multiple gestation
Polyhydramnios
Cause of true prolonged labor
Genetic variation in length of pregnancy
What causes errors in EDD x2
Unsure of LNMP
Variable cycle length
Fetal Complications of aging placenta x5
Oligohydramnios
Fetal compression
Meconium aspiration
Fetal hypoxia and acidosis
Still birth
Complications at birth of increased fetal weight x3
Shoulder dystocia
Birth trauma
Operative delivery
Function of placental sulfatase
Converts DHEAS to estradiol
How is diagnosis of prolonged pregnancy madex6
Ripe cervix
Falling or stationary weight
Size of fetus
Height of uterus
Reliable dates
Hard bones of head
4 ways to do fetal surveillance
CTC
Non stress test
Contraction stress test
Biophysical profile
Complications of adequate and inadequate placenta
Adequate- macrosomia
Inadequate- dysmaturity
