Terms Flashcards
Nullipara
Woman who has never been pregnant beyond 20 wks gestation
Gravid
Number of pregnancies regardless of outcome
Para/parity
Number of babies born after 20 wks gestation
Grand multipara
Woman who has delivered 5 or more babies older than 20 wks gestation
Miscarriage
Pregnancy loss before 20 wks gestation
Labour
Regular painful contractions with cervical change that occurs after 20 wks gestation
Lower uterine segment caesarian section
Operative delivery of the baby through a transverse incision in the lower uterine segment
Classical caesarian section
Operative delivery of the baby through a vertical incision in the upper uterine segment
Hysterotomy
Surgical incision of the uterus, often used to describe abdominal evacuation of a gravid uterus
Preterm labour
Labour that occurs at less than 37wks gestation
Prelabour rupture of membranes (PROM)
Rupture of the membranes before onset of labour
Premature prelabour rupture of membranes (PPROM)
Rupture of the membranes before labour at less than 37 wks gestation
ARM/AROM
Artificial rupture of the membranes
SROM
Spontaneous rupture of the membranes
Braxton Hicks contractions
Irregular, sporadic, unpredictable uterine contractions in the antenatal period
Naegles rule
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
First stage of labour
From the start of labour until full dilatation of the cervix
Second stage of labour
From full dilatation of the cervix until birth of the baby
Third stage of labour
From the birth of the baby until the delivery of the placenta and membranes
Spurious or false labour
Uterine contractions which may be regular and/or painful but are not associated with cervical effacement and dilatation
Oxytocic
Medication that stimulates contractions of the uterine muscle
Tocolytic
Medication that inhibits uterine contractions
Induction of labour
The process of causing labour to commence
Augmentation of labour
The process of stimulating a labour that has already started
Placenta praevia
An obstetric complication in which the placenta partially or completely covers the internal cervical os
Vasa praevia
An obstetric complication in which foetal blood vessels are unprotected by placental tissue or umbilical cord
Antepartum haemorrhage
Bleeding >5 mL from the vagina after 20 wks gestation
Abruption
Separation of the placenta from the uterus in the antenatal or intrapartum period
Postpartum haemorrhage
Vaginal bleeding of >500 mL in the first 24 hrs after delivery
Secondary postpartum haemorrhage
Vaginal bleeding >500 mL more than 24hrs after delivery
Placenta accreta
An obstetric complication in which the placenta invades more deeply than normally into the myometrium and carries a risk of serious haemorrhage
Uterine atony
Failure of the uterus to contract following delivery which can result in postpartum haemorrhage
Isoimmunisation
Maternal blood group Ab that cross the placenta resulting in foetal RBC haemolysis (Ab: D, c, Kell, Kidd, Duffy, etc)
CTG
Cardiotocography is a technical means of recording foetal heartbeat and uterine contractions during pregnancy
Neonatal death
A liveborn infant of at least 20 wks gestation or weight >400g if unknown gestation, who dies within 28 days of birth
Stillbirth
An infant born after 20 wks gestation or weighs >400g if unknown gestation, who did not show any signs of life after birth
Perinatal mortality rate
The number of stillbirths and neonatal deaths per 1000 births
Maternal death
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