Rosh (12/5-12/21) Flashcards
Diagnosis of pregnancy failure
- > 7 mm CRL without CA
- > 25 mm GS without embryo
- 2 weeks after GS and still no embryo
- 11 days after GS and yolk sac and still no embryo
Weight gain recommendations by BMI
<18.5 … 28-40
Up to 25 … 25-35
Up to 30 … 15-25
>30 … 11-20
Severe features
Platelets <100 LFTs double upper limit of normal Cr >1.1 or double baseline Pulmonary edema Neurologic symptoms
Risk of pulmonary hypoplasia after PPROM
Previable 30%
Decreases by 46% weekly
>26 wga 1.4%
Recurrence of SGA
20%
Dating criteria
Never use size of GS
Under 8.6 wga, use LMP unless discrepancy is >5 days (CRL)
Up through 13.6 wga, use LMP unless discrepancy is >7 days (CRL)
To 15.6 wga, use LMP unless discrepancy is >7 days (biometry)
To 21.6 wga, use LMP unless discrepancy is >10 days
To 27.6 wga, use LMP unless discrepancy is >14 days
At 28.0 wga and beyond, use LMP unless discrepancy is >21 days
Delivery timing for previa
36 to 37.6 wga
RPL work-up
Peripheral karyotypic analysis of the parents, maternal thyroid stimulating hormone, prolactin and screening for antiphospholipid antibody syndrome when the patient has had three consecutive first trimester losses
Labs for APLS
anti-b-2-glycoprotein antibody, lupus anticoagulant and anticardiolipin antibody
Common steps where ureteral injury occurs during TLH, BSO
Ligation of ovarian vessels, ligation of uterine vessels, closure of angles of vaginal cuff
Transient fetal complication of indomethacin use
Oligohydramnios
Medications to give if trying to reduce inverted uterus
Terbutaline, nitroglycerin, inhaled anesthetics
What should be avoided during hysteroscopy of someone with Essure coils?
Monopolar cautery
Recommendations for extra calories in second and third trimesters
340 and 450
Amount of water intake recommended in pregnancy
3 liters
Indications for dialysis
A - acidosis E - electrolyte abnormalities I - intoxication (ie. methanol) O - overload (volume) U - uremia (pericarditis, encephalopathy)
Arrest of descent times in second stage
Multip without epidural = 2 hrs
Primip without epidural = 3 hrs
+1 hr each with epidural
Contents of cryoprecipitate
Fibrinogen, factors VIII and XIII, and vWF
Indication for platelet transfusion
<50,000 and ongoing bleeding / surgical procedure
When can an infant receive Tdap vaccine?
6 wks of life (immunity is passed in breast milk within 2 wks of mother receiving the vaccine)
Most common pathophysiology of soft tissue damage from radiation
Progressive, obliterative endarteritis
Muscles of the perineal body
Bulbocavernosus, ischiocavernosus, superficial transverse perineal
Dating criteria
Never use GS size
Up to 8.6 wga, use LMP unless discrepancy >5 days
Up to 13.6 wga, use LMP unless discrepancy >7 days (CRL)
Up to 15.6 wga, use LMP unless discrepancy >7 days (biometry)
Up to 21.6 wga, use LMP unless discrepancy > 10 days
Up to 27.6 wga, use LMP unless discrepancy >14 days
At 28.0 wga and beyond, use LMP unless discrepancy > 21 days
Delivery timing for previa
36.0 to 37.6 wga
