Terms List Flashcards
Nullipara
A woman who has never been pregnant beyond 20 weeks gestation
Gravid
The number of pregnancies regardless of outcome
G6 P4
Gravid 6 Para 4 means pregnant 6 times (includes the current pregnancy) and has previously delivered 4 babies at more than 20 weeks gestation.
Grand multipara
A woman who has delivered 5 or more babies at more than 20 weeks gestation
Abortion/Miscarriage
A pregnancy loss before 20 weeks gestation
Labour
Regular painful contractions with cervical change after 20 weeks gestation
Lower uterine segment caesarean section
operative delivery of the baby through an incision in the lower uterine segment
Classical caesarean section
Operative delivery of the baby through a vertical incision in the upper section of the uterus
Hysterotomy
Operative delivery of the baby through a uterine incision at less than 20 weeks gestation
Preterm labour
Labour less than 37 weeks gestation
Prelabour ruputre of membranes (PROM)
Rupture of the membranes before the onset of labour
Premature prelabour rupture of membranes
rupture of the membranes before labour at less than 37 weeks gestation.
ARM/AROM
Artificial rupture of the membranes
SROM
Spontaneous rupture of the membranes
Braxton Hicks contractions
painless 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. A correction is required if the patient does not have 28 day cycles.
First stage of Labour
From start of labour until full dilation of the cervix
Second stage of labour
from full dilation of the cervix until birth of 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 to stop uterine contractions
Induction of labour
Process of causing labour to commence
Augmentation of labour
process of stimulating labour that has already started
Placenta priva
placenta that approches or covers the internal cervical os in late second or third trimester
Vasa praevia
Fetal vessels lying in the membranes in front of the presenting part
Antepartum Haemorrhage
Bleeding >5ml from the vagina after 20weeks gestation
Abruption
Seperation of the placenta from the uterus in the antenatal or intrapartum period
Post Partum Haemorrhage
Vaginal bleeding of greater than 500ml in the first 24 hours after delivery
Placenta accreta
Placenta that invades the myometrium
Uterine atony
Abnormal relaxation of the uterus after delivery usually causing bleeding.
Isoimmunisation
Blood group antibodies cross the placenta resulting in haemolysis of fetal red blood cells. Antibodies include D, C, K (Kell), Kidd, Duffy.
CTG
Cardiotocograph:
- measures baby’s HR and contractions of the womb.
Neonatal Death
infant who dies within 28 days of birth, of at least 20 weeks gestation or weighing >400gm if gestation is unknown
Stillbirth
A infant born after 20 weeks gestation (or birthweight >400gm) who did not show any signs of life after birth
Perinatal mortality rate
The number of stillbirths plus the number of neonatal deaths per 1000 births
Maternal Death
The death of a woman while pregnant (irrespective of the gestation) or within 42 days of the conclusion of pregnancy irrespective of the cause of death or gestation at delivery.
Maternal Mortality Rate
Number of Maternal deths per 100,000 live births