Terms List Flashcards

1
Q

Nullipara

A

A woman who has never been pregnant beyond 20 weeks gestation

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2
Q

Gravid

A

The number of pregnancies regardless of outcome

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3
Q

G6 P4

A

Gravid 6 Para 4 means pregnant 6 times (includes the current pregnancy) and has previously delivered 4 babies at more than 20 weeks gestation.

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4
Q

Grand multipara

A

A woman who has delivered 5 or more babies at more than 20 weeks gestation

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5
Q

Abortion/Miscarriage

A

A pregnancy loss before 20 weeks gestation

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6
Q

Labour

A

Regular painful contractions with cervical change after 20 weeks gestation

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7
Q

Lower uterine segment caesarean section

A

operative delivery of the baby through an incision in the lower uterine segment

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8
Q

Classical caesarean section

A

Operative delivery of the baby through a vertical incision in the upper section of the uterus

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9
Q

Hysterotomy

A

Operative delivery of the baby through a uterine incision at less than 20 weeks gestation

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10
Q

Preterm labour

A

Labour less than 37 weeks gestation

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11
Q

Prelabour ruputre of membranes (PROM)

A

Rupture of the membranes before the onset of labour

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12
Q

Premature prelabour rupture of membranes

A

rupture of the membranes before labour at less than 37 weeks 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

painless 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. A correction is required if the patient does not have 28 day cycles.

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17
Q

First stage of Labour

A

From start of labour until full dilation of the cervix

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18
Q

Second stage of labour

A

from full dilation of the cervix until birth of 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 to stop uterine contractions

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23
Q

Induction of labour

A

Process of causing labour to commence

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24
Q

Augmentation of labour

A

process of stimulating labour that has already started

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25
Q

Placenta priva

A

placenta that approches or covers the internal cervical os in late second or third trimester

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26
Q

Vasa praevia

A

Fetal vessels lying in the membranes in front of the presenting part

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27
Q

Antepartum Haemorrhage

A

Bleeding >5ml from the vagina after 20weeks gestation

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28
Q

Abruption

A

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

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29
Q

Post Partum Haemorrhage

A

Vaginal bleeding of greater than 500ml in the first 24 hours after delivery

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30
Q

Placenta accreta

A

Placenta that invades the myometrium

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31
Q

Uterine atony

A

Abnormal relaxation of the uterus after delivery usually causing bleeding.

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32
Q

Isoimmunisation

A

Blood group antibodies cross the placenta resulting in haemolysis of fetal red blood cells. Antibodies include D, C, K (Kell), Kidd, Duffy.

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33
Q

CTG

A

Cardiotocograph:

  • measures baby’s HR and contractions of the womb.
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34
Q

Neonatal Death

A

infant who dies within 28 days of birth, of at least 20 weeks gestation or weighing >400gm if gestation is unknown

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35
Q

Stillbirth

A

A infant born after 20 weeks gestation (or birthweight >400gm) who did not show any signs of life after birth

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36
Q

Perinatal mortality rate

A

The number of stillbirths plus the number of neonatal deaths per 1000 births

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37
Q

Maternal Death

A

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.

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38
Q

Maternal Mortality Rate

A

Number of Maternal deths per 100,000 live births

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39
Q

Infant death

A

death of an infant between 29 days -1 year of live

40
Q

Station

A

The level of descent of the presenting part relative to the pelvic brim or symphysis on abdominal palpation, ir to the ischial spines on vaginal examination

41
Q

Lie

A

The relationship between the long axis of the fetus and the long axis of the uterus e.g. longnitudinal, oblique, transverse

42
Q

Position

A

The relationship of a defined area on the presenting part (denominator) to the mother’s pelvis.

In cephalic presentation - denominator is the occiput, therefore positions are:

  • occipito-anterior (OA)
  • occipito-posterior (OP)
  • left or right occipito-transverse (L/ROT)

breech presentation the denominator is the sacrum:

  • SA
  • SP
  • ST
43
Q

Presentation

A

The part of the fetus which is presenting e.g. vertex/breech

44
Q

Asynclitism

A

Side to side tilt of the fetal head

45
Q

Caput

A

Oedema from obstructed venous return in the fetal scalp caused by pressure of the head against the cervix

46
Q

Cervical incompetence

A

Painless cervical dilatation in the second trimester causing preterm labour

47
Q

Cord Prolapse

A

the cord is alongside or below the presenting part in the presence of ruptured membranes

48
Q

Episiotomy

A

Surgical incision of the perineum during the second stage of labour

49
Q

Third degree tear

A

Perineal trauma which involves the vaginal mucosa, perineal muscles and the external anal sphincter

50
Q

Second Degree Tear

A

Perineal trauma which involves the vaginal mucosa and perineal muscles

51
Q

Lochia

A

vaginal discharge during the puerperium (6 weeks after childbirth when the organs are returning to normal)

52
Q

Oligohydramnios

A

Reduced amniotic fluid

53
Q

Polyhydramnios

A

Excess amniotic fluid

54
Q

Pre-eclampsia

A

HTN and proteinuria in pregnancy

55
Q

Eclampsia

A

a seizure in the clinical setting of pre-eclampsia

56
Q

Amniocentesis

A

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

57
Q

Chorionic villus sampling CVS

A

Sampling of placenta using a needle under US guidance

58
Q

External cephalic version

A

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

59
Q

Retained placenta

A

a placenta still in utero 1 hr after delivery of the baby

60
Q

Precipitate labour

A

Labour <4 hrs duration

61
Q

Shoulder dystocia

A

Difficulty delivering the shoulders after delivery of the fetal head

62
Q

Puerperinum

A

the 6 weeks following delivery

63
Q

Quickening

A

Maternal perception of fetal movement

64
Q

Restitution

A

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

65
Q

Show

A

A discharge of blood and mucous from the vagina in early labour or the days preceeding labour

66
Q

Phototherapy

A

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

67
Q

Exchange transfusion

A

Procedure to treat severe newborn pathological jaundice in which blood is removed and replaced with donor blood. This removed the bilirubin and also the antibodies that have been causing hemolysis and jaundice.

68
Q

Low Birthweight

A

<2500gm (2.5kg)

69
Q

Very low birthweight

A

<1500gm (1.5Kg)

70
Q

Neonatal respiratory distress

A
  • Tachypnoea,
  • increased effort of breathing,
  • noisy breathing and
  • central cyanosis.
71
Q

Caesarean Hysterectomy

A

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

72
Q

Perimortem CS

A

Caesarean performed on a moribund or dead woman with view of preserving her life.

73
Q

Abnormal uterine bleeding (AUB)

A

An overarching term for disturbed mentrual bleeding which includes bleeding that is abnormally heavy or abnormal in timing

74
Q

Primary Ammenorrhea

A

Failure to menstruate by 15-16 years of age in someone with secondary sexual characteristics

75
Q

Delayed Puberty

A

Failure to menstruate by 13-14 years of age in someone without secondary sexual characteristics

76
Q

Secondary amenorrhea

A

Absence of periods for a 6-month period in a woman who has previously had menstrual periods

77
Q

Intramenstrual Bleeding

A

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

78
Q

Irregular menstrual bleeding

A

A range of varying lengths of bleeding-free intervals >17 days within one 90-day reference period

79
Q

Prolonged menstural bleeding

A

Prolonged bleeding for greater than or equal to 10 days in one episode

80
Q

Acute AUB

A

an episode of heavy bleeding that, in the clinicians opinion 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 that interferes with a women’s physical, emotional, social and material QOL

Note that this definition is deemed excessive by the patient irregardless of regularity, duration or frequency.

83
Q

Infrequent menstrual bleeding

A

one or two episodes in a 90 day period.

84
Q

Dysmenorrhea

A

Pelvic pain during menstruation

85
Q

Dyspareunia

A

Painful sexual intercourse.

  • Deep - deep in vagina or pelvis
  • Superficial - introitus (hole), vulva or lower vagina.
86
Q

Cervical excitation

A

Pain felt by the woman when her cervix is moved during vaginal examination, typically from free blood in the peritoneal cavity.

87
Q

Cervical Ectropion

A

Endometrial columnar epithelium protrudes through the external os of the cervix and onto the vaginal portion of the cervix.

88
Q

Infertility

A

The failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse

89
Q

Endometriosis

A

The occurance of endometrial tissue outside the uterus, most commonly on the pelvic peritoneal surfaces.

90
Q

Adenomyosis

A

Endometrial tissue within the myometrium

91
Q

Pelvic Inflammatory Disease (PID)

A

Infection of the uterus, fallopian tubes or pelvis

92
Q

Menopause

A

the term natural menopause is defined as the permanent cessation of menstruation resulting in loss of ovarian follicular activity where the last period was 12 months prior.

93
Q

Premature Menopause

A

Menopause occuring before 40 years of age

94
Q

Induced Menopause

A

The term induced menopause is defined as the cessation of menstruation which follows either surgical removal of both ovaries (with or without hysterectomy) or iatrogenic ablation of ovarian function (e.g. chemo or radiotherapy)

95
Q

Climateric/Perimenopause

A

Ovarian function declines and menopausal symptoms appear

96
Q

Postmenopause

A

the time after menopause

97
Q

Lactational amenorrhea methos

A

Effective contraception provided when a woman is fully breast-feeding a baby less than 6 months of age and has no return of menses.