Risky OB Flashcards
What is the best treatment for intervted uterus?
uterine relaxation with halothane
What do you do if the placenta does not deliver within 30 minutes?
attempt manual extraction
What is the definition of preeclampsia?
hypertension and protenuria after 20 weeks gestation
What are some of the most common symptoms of preeclampsia?
headache, visual disturbances, RUQ pain
How is preeclampsia managed?
delivery, seizure prophyaxis (Mg)
What is eclampsia
seizures or coma in a patient with preeclampsia
How is hypertension managed in pregnancy in the short term? In the long term?
short term: hydralazine, labetolol
long term: methyldopa, nifedipine
What are the risks associated with gestational diabetes?
higher risk of gestational diabetes, higher risk of infections, higher rate of C section, higher risk of polyhydramnios and birth injury
What CNS anomaly is most specific for DM?
caudal regression
What are the classifications for gestational diabetes?
A1 - managed with diet. wait for delivery
A2 - managed with insulin - at delivery, consider amnio for fetal lung maturity etc.
What are the ways to manage shoulder dystocia?
Help Epsiotomy Legs up (roberts position) Pressure superpubically Enter vagina reach for posterior arm Rupture clavicle Return head for C section
What are the risk factors for placental abruption?
previous history of abruption, smoking, cocaine use, high parity
What is the difference in presentation between placental abruption and placenta previa?
placenta previa = painless bleeding
What is the number one risk factor for velamentous cord insertion?
multiparity (risk increases substantially for twins, triplets
What increases the risk of uterine rupture in TOLAC?
if classic or tranverse