Reproductive CBL session Flashcards
What do we mean by G2P1?
2 pregnancies one birth
Parity is number of pregnancies that went beyond 24 weeks
Onset of labour before how many weeks is defined as preterm?
Before 37 weeks
Patient has a ruptured membrane but has had no contrainidcations yet?
A- Is she in labour
B- What is the name of her condition?
A- Pre labour rupture of membranes. Small trickle or a gush of water. Not in labour
B- PROM- Premature rupture of membranes
What are some complication of PPROM?
Infection, such as infections of the amniotic fluid and membranes
Separation of the placenta from the uterus.
Problems with the umbilical cord.
Surgical or cesarean section (C-section) deliver
What does a negative fFN test tell us?
Fetal fibronectin test- Fetal fibronectin is a protein that’s believed to help keep the amniotic sac “glued” to the lining of the uterus
If completely negative useful for deciding if safe to send a women home
Negative tells you that there is a low chance of delivery in the next 2 weeks
Why are corticosteroids administered in pregnancy?
If you are having a planned caesarean section before 39 weeks of pregnancy, corticosteroids arerecommended to lessen the chance of breathing problems for your baby
Reduce risk of RDS and haemorrhage and neonatal death
What are tocolytics?
Tocolytics are drugs that areused to delay your delivery for a short time(up to 48 hours) if you begin labor too early in your pregnancy.
Tocolytis werent administed as no contractions
As not provewn to improve outcome only used for time to transfer or give steroids
What are some signs of respiratory distress syndrome?
Blusish colour of skin and mucus embranes
Brief stop in breathing
Decreased urine output.
Nasal flaring.
Rapid breathing.
Shallow breathing.
Shortness of breath and grunting sounds while breathing.
Unusual breathing movement (such as drawing back of the chest muscles with breathing)
How is respiratory distress syndrome managed?
Surfactant therapy
Breathing support from a ventilator or nasal continuous positive airway pressure
Oxygen therapy
Distressed primiparous patient who has vaginal bleeding. Not in pain. What is the most likely cause?
An antepartum haemorrhage (APH) is bleeding from the vagina that occurs after the 20th week of pregnancy and before the birth of your baby.
The common causes of bleeding during pregnancy arecervical ectropion, vaginal infection, placental edge bleed, placenta praevia or placental abruption
Urogenital lesions
Placenta praevia or
Placenta abruption- Can be painful but not if a small one
What are some other causes of antepartum haemorrhage?
Placenta praevia and placental abruption
Small bleed might just be from cervix
Cervical ectropion and inflammation
Women come in with a post coital bleed
How is placenta praevia diagnosed?
Through US. Either during a routine prenatal appointment or after an episode of vaginal bleeding. Most cases of placenta previa are diagnosed during a second trimester ultrasound exam
How does major differ from minor placenta praevia?
Grade I or minor praevia is defined as a lower edge inside the lower uterine segment; grade II or marginal praevia as a lower edge reaching the internal os;grade IIIor partial praevia when the placenta partially covers the cervix; and grade IV or complete praevia when the placenta completely covers the cervix
What are some complications of placenta praevia?
Major haemorrhage for the mother
Shock from loss of blood
Fetal distress from lack of oxygen
May need steroids
What are some complications of placenta praevia?
Major haemorrhage for the mother
Shock from loss of blood
Fetal distress from lack of oxygen
May need steroids
