Women's terminology Flashcards

1
Q

Nullipara

A

a woman who has never been pregnant beyond 20 weeks gestation

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2
Q

Gravida/gravid

A

number of pregnancies, regardless of outcome

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3
Q

Para/parity

A

number of babies born after 20 weeks gestation

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4
Q

G6, P4

A

gravida 6, para 4 means pregnant 6 times (including current pregnancy) and has previously delivered 4 babies at more than 20 weeks gestation

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5
Q

Grand multipara

A

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

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6
Q

Abortion/miscarriage

A

pregnancy loss before 20 weeks gestation

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7
Q

labour

A

regular painful contractions with cervical change after 20 weeks gestation

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8
Q

lower uterine segment caesarian section

A

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

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9
Q

classical caesarian section

A

operative delivery of a baby through a vertical incision in the upper segment of the uterus

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10
Q

hysterotomy

A

operative delivery of a baby through a uterine incision at

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11
Q

preterm labour

A

labour at

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12
Q

prelabour rupture of membranes (PROM)

A

rupture of the membranes before the onset of labour

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13
Q

ARM/AROM

A

artificial rupture of the membranes

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14
Q

premature prelabour rupture of membranes (PPROM)

A

rupture of the membranes before labour at

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15
Q

PROM

A

prelabour rupture of the membranes

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16
Q

SROM

A

spontaneous rupture of the membranes

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17
Q

Braxton Hicks contractions

A

painless uterine contractions in the antenatal period

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18
Q

Naegles rule

A

to estimate the probable date of childbirth (confinement) add 9 months and 7 days to the first day of the last menstrual period
note: correction is required if pt does not have 28 day cycles

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19
Q

first stage of labour

A

from the start of labour until full dilatation of the cervix

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20
Q

second stage of labour

A

from full dilatation of the cervix until the birth of a baby

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21
Q

third stage of labour

A

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

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22
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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23
Q

oxytocic

A

medication that stimulates contractions of the uterine muscle

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24
Q

tocolytic

A

medication that stops uterine contractions

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25
induction of labour
process of causing labour to commence
26
augmentation of labour
process of stimulating a labour that has already started
27
placenta praevia
placenta that approaches or covers the internal cervical os in late or third trimester (placenta partly or wholly inserted in lower uterine segment)
28
vasa praevia
fetal vessels lying in the membranes in front of the presenting part
29
antepartum haemorrhage
bleeding >5ml from the vagina after 20 weeks gestation
30
abruption
separation of the placenta from the uterus in the antenatal or intrapartum period
31
post partum haemorrhage
vaginal bleeding >500ml in the first 24 hours after delivery
32
secondary post partum haemorrhage
vaginal bleeding >500ml, >24 hours after delivery
33
placenta accreta
placenta that invades the myometrium
34
uterine atony
abnormal relaxation of the uterus after delivery, usually causing bleeding
35
isoimmunisation
- blood group antibodies cross the placenta resulting in haemolysis of fetal RBCs - antibodies include: D, c, K (Kell), Kidd, Duffy etc..
36
CTG
cardiotocogram
37
neonatal death
a liveborn infant who dies within 28 days of birth, of at least 20 weeks gestation or weighing >400g if gestation is unknown
38
stillbirth
an infant born >20 weeks gestation (or birthweight >400g if gestation unknown) who did not show any signs of life after birth
39
perinatal mortality rate
number of stillbirths plus neonatal deaths per 1000 births
40
maternal death
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
41
maternal mortality rate
number of maternal deaths per 100,000 live births
42
infant death
death of an infant between 29 days and 1 year of life
43
station
level of descent of the presenting part relative to the pelvic brim or symphysis on abdo palpation, or to the ischial spines on vaginal examination
44
lie (give examples)
relationship between the long axis of the fetus and the long axis of the uterus e.g. longitudinal, oblique, transverse
45
position (give examples)
- relationship of a defined area of the presenting part (the denominator) to the mother's pelvis - e.g. in a cephalic presentation, the denominator is the occiput thus the position is the occipito-anterior (OA), occipito-posterior (OP), left or right occipito-transverse (L/ROT) - e.g. in a breech presentation, the denominator is the sacrum (SA, SP, ST)
46
presentation
part of the fetus which is presenting e.g. vertex (cephalic), breech
47
asynlitism
side to side tilt of the fetal head
48
caput
oedema from obstructed venous return in the fetal scalp caused by pressure of the head against the cervix
49
cervical incompetence
painless cervical dilatation in the second trimester causing preterm labour
50
cord prolapse
cord is alongside or below the presenting part in the presence of ruptured membranes
51
episiotomy
surgical incision of the perineum during the second stage of labour
52
third degree tear
perineal laceration which involves the vaginal mucosa, perineal muscles and external anal sphincter
53
second degree tear
perineal laceration which involves the vaginal mucosa and perineal muscles
54
lochia
vaginal discharge during the puerperium
55
oligohydramnios
reduced amniotic fluid
56
polyhydramnios
excess amniotic fluid
57
pre eclampsia
hypertension, proteinuria and oedema in pregnancy
58
eclampsia
a seizure in the clinical setting of pre eclampsia
59
amniocentesis
sampling of amniotic fluid using a needle through the abdo wall
60
chorionic villus sampling (CVS)
sampling of the placenta using a needle under US guidance
61
external cephalic version
turning a breech baby to cephalic presentation through the maternal abdo wall
62
retained placenta
placenta still in utero 1 hour after delivery of the baby
63
precipitate labour
labour
64
shoulder dystocia
difficulty delivering the shoulders after delivery of the fetal head
65
puerperium
the 6 weeks following delivery
66
quickening
maternal perception of fetal movements
67
restitution
rotation of the fetal head after delivery to align with the back and shoulders
68
show
discharge of blood and mucus from the vagina in early labour or days preceding labour
69
phototherapy
use of standard fluorescent white light or blue light therapy to photoisomerase bilirubin to allow for its excretion
70
exchange transfusion
- procedure to treat severe newborn pathological jaundice in which blood is removed and replaced with donor blood - removes the bilirubin and antibodies that have been causing haemolysis and jaundice
71
low birthweight baby
72
very low birthweight baby
73
neonatal respiratory distress
- tachypnoea - increased effort of breathing - noisy breathing - central cyanosis
74
caesarian hysterectomy
laparotomy at which the contents of the gravid uterus are delivered then the uterus is excised (e.g. due to placenta accreta)
75
perimortem CS
CS performed on a moribind or dead woman with a view to preserving her life
76
abnormal uterine bleeding (AUB)
overarching term for disturbed menstrual bleeding which includes bleeding that is abnormally heavy or abnormal in timing
77
primary ammenhorrhea
absence of periods ever
78
secondary ammenhorhea
absence of periods for a 6-month period
79
intermenstrual bleeding
bleeding episodes between normally timed menstrual periods that are either random or follow a cyclical pattern
80
irregular menstrual bleeding
unpredictable onset of menses with cycle variations of >20 days over a period of 1 year
81
prolonged menstrual bleeding
menstrual bleeding lasting >8 days on a regular basis
82
acute AUB
- AUB = abnormal uterine bleeding | - an episode of heavy bleeding that is sufficiently heavy to require immediate treatment to prevent further blood loss
83
chronic AUB
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
84
heavy menstrual bleeding (replaces menorrhagia)
excessive menstrual blood loss that interferes with a woman's physical, emotional, social and material QoL occurring alone or with other sx
85
dysmenorrhea
pelvic pain during menstruation
86
dyspareunia
pain with sexual intercourse
87
cervical excitation
pain felt by the woman when her cervix is moved during vaginal examination, typically from free blood in the peritoneal cavity
88
cervical ectropion
endocervical columnar epithelium protrudes through the external os of the cervix and onto the vaginal portion of the cervix
89
infertility
failure of a couple to conceive in 1 year
90
endometriosis
occurrence of endometrial tissue outside of the uterus, most commonly on the pelvic peritoneal surfaces
91
adenomyosis
occurrence of endometrial tissue within the myometrium
92
Pelvic inflammatory disease (PID)
infection of the uterus, fallopian tubes or pelvis
93
menopause
final menstrual period
94
premature menopause
menopause occurring
95
climacteric/perimenopause
period of time when ovarian function declines and menopausal sx appear
96
post menopause
time after menopause q
97
lactational amenorrhea
effective contraception provided when a woman is fully breast-feeding a baby