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
Q

induction of labour

A

process of causing labour to commence

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26
Q

augmentation of labour

A

process of stimulating a labour that has already started

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27
Q

placenta praevia

A

placenta that approaches or covers the internal cervical os in late or third trimester
(placenta partly or wholly inserted in lower uterine segment)

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28
Q

vasa praevia

A

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

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29
Q

antepartum haemorrhage

A

bleeding >5ml from the vagina after 20 weeks gestation

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30
Q

abruption

A

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

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31
Q

post partum haemorrhage

A

vaginal bleeding >500ml in the first 24 hours after delivery

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32
Q

secondary post partum haemorrhage

A

vaginal bleeding >500ml, >24 hours after delivery

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33
Q

placenta accreta

A

placenta that invades the myometrium

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34
Q

uterine atony

A

abnormal relaxation of the uterus after delivery, usually causing bleeding

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35
Q

isoimmunisation

A
  • blood group antibodies cross the placenta resulting in haemolysis of fetal RBCs
  • antibodies include: D, c, K (Kell), Kidd, Duffy etc..
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36
Q

CTG

A

cardiotocogram

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37
Q

neonatal death

A

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

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38
Q

stillbirth

A

an infant born >20 weeks gestation (or birthweight >400g if gestation unknown) who did not show any signs of life after birth

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39
Q

perinatal mortality rate

A

number of stillbirths plus neonatal deaths per 1000 births

40
Q

maternal death

A

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
Q

maternal mortality rate

A

number of maternal deaths per 100,000 live births

42
Q

infant death

A

death of an infant between 29 days and 1 year of life

43
Q

station

A

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
Q

lie (give examples)

A

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

45
Q

position (give examples)

A
  • 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
Q

presentation

A

part of the fetus which is presenting e.g. vertex (cephalic), breech

47
Q

asynlitism

A

side to side tilt of the fetal head

48
Q

caput

A

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

49
Q

cervical incompetence

A

painless cervical dilatation in the second trimester causing preterm labour

50
Q

cord prolapse

A

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

51
Q

episiotomy

A

surgical incision of the perineum during the second stage of labour

52
Q

third degree tear

A

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

53
Q

second degree tear

A

perineal laceration which involves the vaginal mucosa and perineal muscles

54
Q

lochia

A

vaginal discharge during the puerperium

55
Q

oligohydramnios

A

reduced amniotic fluid

56
Q

polyhydramnios

A

excess amniotic fluid

57
Q

pre eclampsia

A

hypertension, proteinuria and oedema in pregnancy

58
Q

eclampsia

A

a seizure in the clinical setting of pre eclampsia

59
Q

amniocentesis

A

sampling of amniotic fluid using a needle through the abdo wall

60
Q

chorionic villus sampling (CVS)

A

sampling of the placenta using a needle under US guidance

61
Q

external cephalic version

A

turning a breech baby to cephalic presentation through the maternal abdo wall

62
Q

retained placenta

A

placenta still in utero 1 hour after delivery of the baby

63
Q

precipitate labour

A

labour

64
Q

shoulder dystocia

A

difficulty delivering the shoulders after delivery of the fetal head

65
Q

puerperium

A

the 6 weeks following delivery

66
Q

quickening

A

maternal perception of fetal movements

67
Q

restitution

A

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

68
Q

show

A

discharge of blood and mucus from the vagina in early labour or days preceding labour

69
Q

phototherapy

A

use of standard fluorescent white light or blue light therapy to photoisomerase bilirubin to allow for its excretion

70
Q

exchange transfusion

A
  • 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
Q

low birthweight baby

A
72
Q

very low birthweight baby

A
73
Q

neonatal respiratory distress

A
  • tachypnoea
  • increased effort of breathing
  • noisy breathing
  • central cyanosis
74
Q

caesarian hysterectomy

A

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

75
Q

perimortem CS

A

CS performed on a moribind or dead woman with a view to preserving her life

76
Q

abnormal uterine bleeding (AUB)

A

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

77
Q

primary ammenhorrhea

A

absence of periods ever

78
Q

secondary ammenhorhea

A

absence of periods for a 6-month period

79
Q

intermenstrual bleeding

A

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

80
Q

irregular menstrual bleeding

A

unpredictable onset of menses with cycle variations of >20 days over a period of 1 year

81
Q

prolonged menstrual bleeding

A

menstrual bleeding lasting >8 days on a regular basis

82
Q

acute AUB

A
  • AUB = abnormal uterine bleeding

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

83
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

84
Q

heavy menstrual bleeding (replaces menorrhagia)

A

excessive menstrual blood loss that interferes with a woman’s physical, emotional, social and material QoL occurring alone or with other sx

85
Q

dysmenorrhea

A

pelvic pain during menstruation

86
Q

dyspareunia

A

pain with sexual intercourse

87
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

88
Q

cervical ectropion

A

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

89
Q

infertility

A

failure of a couple to conceive in 1 year

90
Q

endometriosis

A

occurrence of endometrial tissue outside of the uterus, most commonly on the pelvic peritoneal surfaces

91
Q

adenomyosis

A

occurrence of endometrial tissue within the myometrium

92
Q

Pelvic inflammatory disease (PID)

A

infection of the uterus, fallopian tubes or pelvis

93
Q

menopause

A

final menstrual period

94
Q

premature menopause

A

menopause occurring

95
Q

climacteric/perimenopause

A

period of time when ovarian function declines and menopausal sx appear

96
Q

post menopause

A

time after menopause q

97
Q

lactational amenorrhea

A

effective contraception provided when a woman is fully breast-feeding a baby