Terms Flashcards

1
Q

Nullipara

A

Woman who has never been pregnant beyond 20 wks gestation

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2
Q

Gravid

A

Number of pregnancies regardless of outcome

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3
Q

Para/parity

A

Number of babies born after 20 wks gestation

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4
Q

Grand multipara

A

Woman who has delivered 5 or more babies older than 20 wks gestation

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5
Q

Miscarriage

A

Pregnancy loss before 20 wks gestation

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6
Q

Labour

A

Regular painful contractions with cervical change that occurs after 20 wks gestation

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7
Q

Lower uterine segment caesarian section

A

Operative delivery of the baby through a transverse incision in the lower uterine segment

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8
Q

Classical caesarian section

A

Operative delivery of the baby through a vertical incision in the upper uterine segment

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9
Q

Hysterotomy

A

Surgical incision of the uterus, often used to describe abdominal evacuation of a gravid uterus

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10
Q

Preterm labour

A

Labour that occurs at less than 37wks gestation

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11
Q

Prelabour rupture of membranes (PROM)

A

Rupture of the membranes before onset of labour

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12
Q

Premature prelabour rupture of membranes (PPROM)

A

Rupture of the membranes before labour at less than 37 wks gestation

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13
Q

ARM/AROM

A

Artificial rupture of the membranes

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14
Q

SROM

A

Spontaneous rupture of the membranes

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15
Q

Braxton Hicks contractions

A

Irregular, sporadic, unpredictable uterine contractions in the antenatal period

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16
Q

Naegles rule

A

To estimate the probable date of confinement, add 9 months and 7 days to the first day of the last menstrual period based on a 28 day menstrual cycle

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17
Q

First stage of labour

A

From the start of labour until full dilatation of the cervix

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18
Q

Second stage of labour

A

From full dilatation of the cervix until birth of the baby

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19
Q

Third stage of labour

A

From the birth of the baby until the delivery of the placenta and membranes

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20
Q

Spurious or false labour

A

Uterine contractions which may be regular and/or painful but are not associated with cervical effacement and dilatation

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21
Q

Oxytocic

A

Medication that stimulates contractions of the uterine muscle

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22
Q

Tocolytic

A

Medication that inhibits uterine contractions

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23
Q

Induction of labour

A

The process of causing labour to commence

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24
Q

Augmentation of labour

A

The process of stimulating a labour that has already started

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25
Q

Placenta praevia

A

An obstetric complication in which the placenta partially or completely covers the internal cervical os

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26
Q

Vasa praevia

A

An obstetric complication in which foetal blood vessels are unprotected by placental tissue or umbilical cord

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27
Q

Antepartum haemorrhage

A

Bleeding >5 mL from the vagina after 20 wks gestation

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28
Q

Abruption

A

Separation of the placenta from the uterus in the antenatal or intrapartum period

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29
Q

Postpartum haemorrhage

A

Vaginal bleeding of >500 mL in the first 24 hrs after delivery

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30
Q

Secondary postpartum haemorrhage

A

Vaginal bleeding >500 mL more than 24hrs after delivery

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31
Q

Placenta accreta

A

An obstetric complication in which the placenta invades more deeply than normally into the myometrium and carries a risk of serious haemorrhage

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32
Q

Uterine atony

A

Failure of the uterus to contract following delivery which can result in postpartum haemorrhage

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33
Q

Isoimmunisation

A

Maternal blood group Ab that cross the placenta resulting in foetal RBC haemolysis (Ab: D, c, Kell, Kidd, Duffy, etc)

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34
Q

CTG

A

Cardiotocography is a technical means of recording foetal heartbeat and uterine contractions during pregnancy

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35
Q

Neonatal death

A

A liveborn infant of at least 20 wks gestation or weight >400g if unknown gestation, who dies within 28 days of birth

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36
Q

Stillbirth

A

An infant born after 20 wks gestation or weighs >400g if unknown gestation, who did not show any signs of life after birth

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37
Q

Perinatal mortality rate

A

The number of stillbirths and neonatal deaths per 1000 births

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38
Q

Maternal death

A

Death of a pregnant women regardless of gestation or death within 42 days of the conclusion of pregnancy regardless of cause or gestation at delivery

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39
Q

Maternal mortality rate

A

Number of maternal deaths per 100,000 live births

40
Q

Infant death

A

Death of an infant between 29 days and 1 yr of life

41
Q

Station

A

The level of the presenting part relative to maternal pubic symphysis on abdominal palpation or to the ischial spines on vaginal examination

42
Q

Lie

A

The long axis of the foetus in relation to the long axis of the uterus (e.g. longitudinal, oblique, transverse)

43
Q

Position

A

The relationship between a given bony landmark of the presenting part (‘denominator’) to the left or right of the mother’s anterior/posterior/transverse pelvis

44
Q

Presentation

A

The portion of the foetal body that is foremost within the pelvic brim or in closest proximity to it.
If the presenting part is the foetal head, it is a cephalic presentation.
If the presenting part is the butt, it is a breech presentation.
If the foetal lie is transverse then the shoulder is the presenting part.

45
Q

Asynclitism

A

The posture in which one parietal bone is at a lower level than the other due to lateral inclination of the head (side-to-side tilt of the head)

46
Q

Caput

A

Oedema of the foetal scalp caused by pressure of its head by the cervix, obstructing venous return

47
Q

Cervical incompetence

A

Painless cervical dilatation in the 2nd trimester causing preterm labour

48
Q

Cord prolapse

A

Umbilical cord passes through the cervix before or at the same time as the foetal presenting part

49
Q

Episiotomy

A

Surgical incision of the perineum during the second stage of labour

50
Q

Third degree tear

A

Perineal trauma involving the vaginal mucous, perineal muscles and external anal sphincter

51
Q

Second degree tear

A

Perineal trauma involving the vaginal mucosa and perineal muscles

52
Q

Lochia

A

Vaginal discharge during the puerperium

53
Q

Oligohydramnios

A

Reduced amniotic fluid

54
Q

Polyhydramnios

A

Excess amniotic fluid

55
Q

Pre-eclampsia

A

Hypertension, proteinuria and multi-organ dysfunction in the setting of pregnancy

56
Q

Eclampsia

A

Seizure in the setting of pre-eclampsia

57
Q

Amniocentesis

A

Sampling of amniotic fluid using a needle through the abdominal wall of the mother

58
Q

Chorionic villus sampling

A

Sampling of the placenta using a needle under U/S guidance

59
Q

External cephalic version

A

Turning a breech baby to cephalic presentation through the maternal abdominal wall

60
Q

Retained placenta

A

Lack of expulsion of the placenta within 30 min of delivery of the baby

61
Q

Precipitate labour

A

Labour lasting less than 4 hrs

62
Q

Shoulder dystocia

A

Difficulty delivering the shoulders after delivery of the foetal head/vertex, requiring additional maneuvers to deliver the foetus after normal gentle downward traction has failed.

63
Q

Puerperium

A

The 6 wks following delivery

64
Q

Quickening

A

Maternal perception of foetal movements

65
Q

Restitution

A

Rotation of the foetal head after delivery to align with the back and shoulders

66
Q

Show

A

Discharge of blood and mucous from the vagina in early labour or the days preceding labour

67
Q

Phototherapy

A

Use of standard fluorescent white light or blue light therapy to photoisomerise bilirubin to allow for its excretion

68
Q

Exchange transfusion

A

Procedure to treat severe newborn pathological jaundice in which blood is removed and replaced with donor blood. This removes the bilirubin and also the Ab that caused haemolysis and jaundice

69
Q

Low birthweight

A
70
Q

Very low birthweight

A
71
Q

Neonatal respiratory distress

A

Tachypnoea, increased work of breathing, noisy breathing and central cyanosis

72
Q

Caesarean hysterectomy

A

Laparotomy at which the contents of the gravid uterus are delivered then the uterus is excised (e.g. due to placenta accreta)

73
Q

Perimortem CS

A

Caesarean performed either during maternal cardiac arrest or during impending maternal cardiac arrest to increase the chance of successfully resuscitating the mother and improving foetal survival

74
Q

Abnormal uterine bleeding

A

Term to describe disturbed menstrual bleeding which includes abnormally heavy bleeding or abnormal timing

75
Q

Primary amenorrhoea

A

Absence of periods ever

76
Q

Secondary amenorrhoea

A

Absence of periods for a 6 month period

77
Q

Intermenstrual bleeding

A

Bleeding episodes between normally timed menstrual periods that are either random or follow a cyclical pattern

78
Q

Irregular menstrual bleeding

A

Unpredictable onset of menses with cycle variations of more than 20 days over a period of 1 yr

79
Q

Prolonged menstrual bleeding

A

Menstrual bleeding lasting more than 8 days on a regular basis

80
Q

Acute AUB

A

An episode of heavy bleeding that is sufficiently heavy to require immediate treatment to prevent further blood loss

81
Q

Chronic AUB

A

Bleeding from the uterine corpus that is abnormal in volume, duration and/or frequency and has been present for most of the past 6 months

82
Q

Heavy menstrual bleeding

A

Excessive menstrual blood loss (regardless of regularity, frequency, or duration) that interferes with a woman’s physical, emotional, social and maternal QOL, occurring alone or with other sx

83
Q

Dysmenorrhoea

A

Pelvic pain during menstruation

84
Q

Dyspareunia

A

Pain with sexual intercourse

85
Q

Cervical excitation

A

Pain felt by the woman when her cervix is moved during vaginal examination which usually indicates pelvic pathology

86
Q

Cervical ectropion

A

Endocervical columnar epithelium which protrudes through the cervical external os and onto the vaginal portion of the cervix

87
Q

Infertility

A

Failure of a couple to conceive in 1 yr

88
Q

Endometriosis

A

Occurrence of endometrial glands and stroma outside the uterus

89
Q

Adenomyosis

A

Occurrence of endometrial glands and stroma within the myometrium

90
Q

PID

A

Infection of the uterus, fallopian tubes or pelvis

91
Q

Menopause

A

Final menstrual period - official definition: absence of menstrual periods for 12 months

92
Q

Premature menopause

A

Menopause occurring before 40 yo

93
Q

Climacteric/perimenopause

A

Period of time when ovarian function declines and menopausal symptoms appear

94
Q

Post menopause

A

Time after menopause

95
Q

Lactational amenorrhoea method

A

Effective contraception provided when a woman fully breast feeds a baby less than 6 mo and has no return of menses