Definitions

Question 1

Nullipara

Answer 1

A women who has never been pregnant beyond 20 weeks gestation

Question 2

Gravid

Answer 2

The number of pregnancies, regardless of outcome

Question 3

Parity

Answer 3

The number of babies born after 20 weeks gestation

Question 4

G6, P4

Answer 4

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

Question 5

Grand multipara

Answer 5

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

Question 6

Abortion/miscarriage

Answer 6

Pregnancy loss before 20 weeks gestation

Question 7

Labour

Answer 7

Regular painful contractions with cervical change after 20 weeks gestation

Question 8

Lower uterine segment caesarian section

Answer 8

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

Question 9

Classical caesarian section

Answer 9

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

Question 10

Hysterotomy

Answer 10

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

Question 11

Preterm labour

Answer 11

Labour at

Question 12

Prelabour rupture of membranes (PROM)

Answer 12

Rupture of the membranes before onset of labour

Question 13

Premature prelabour rupture of membranes (PPROM)

Answer 13

Rupture of the membranes before the onset of labour

Question 14

ARM/AROM

Answer 14

Artificial rupture of the membranes

Question 15

SROM

Answer 15

Spontaneous rupture of the membranes

Question 16

Braxton Hicks contractions

Answer 16

Painless uterine contractions in the antenatal period

Question 17

Naegeles rule

Answer 17

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

Question 18

First stage of labour

Answer 18

From the start of labour until full dilatation of the cervix

Question 19

Second stage of labour

Answer 19

From full dilatation of the cervix until the birth of the baby

Question 20

Third stage of labour

Answer 20

From the birth of the baby until the delivery of the placenta & membranes

Question 21

Spurious or false labour

Answer 21

Uterine contractions which may be regular and/or painful, but are not associated with cervical effacement & dilatation

Question 22

Oxytocic

Answer 22

Medication that stimulates contractions of the uterine muscle

Question 23

Tocolytic

Answer 23

Medication to stop uterine contractions

Question 24

Induction of labour

Answer 24

The process of causing labour to commence

Question 25

Augmentation of labour

Answer 25

The process of stimulating a labour that has already started

Question 26

Placenta praevia

Answer 26

Placenta that approaches or covers the internal cervical os in late second or third trimester

Question 27

Vasa praevia

Answer 27

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

Question 28

Antepartum haemorrhage

Answer 28

Bleeding >5mL from the vagina after 20 weeks gestation

Question 29

Abruption

Answer 29

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

Question 30

Post-partum haemorrhage

Answer 30

Vaginal bleeding of more than 500mL in the first 24 hours after delivery

Question 31

Secondary post-partum haemorrhage

Answer 31

Vaginal bleeding of more than 500mL more than 24 hours after delivery

Question 32

Placenta accreta

Answer 32

Placenta that invades the myometrium

Question 33

Uterine atony

Answer 33

Abnormal relaxation of the uterus after delivery, usually causing bleeding

Question 34

Isoimmunisation

Answer 34

Blood group antibodies cross the placenta resulting in haemolysis of fetal red blood cells

Question 35

CTG

Answer 35

Cardiotocograph

Question 36

Neonatal death

Answer 36

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

Question 37

Stillbirth

Answer 37

An infant born after 20 weeks gestation who did not show any signs of life after birth

Question 38

Perinatal mortality rate

Answer 38

The number of stillbirths plus neonatal deaths per 1000 births

Question 39

Maternal death

Answer 39

The death of a woman while pregnant or within 42 days of the conclusion of the pregnancy irrespective of the cause of death

Question 40

Maternal mortality rate

Answer 40

Number of maternal deaths per 100,000 live births

Question 41

Infant death

Answer 41

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

Question 42

Station

Answer 42

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

Question 43

Lie

Answer 43

The relationship between the long axis of the fetus and the long axis of the uterus, eg. longitudinal, oblique, transverse

Question 44

Position

Answer 44

The relationship of a defined area on the presenting part (the ‘denominator’) to the mother’s pelvis. In a cephalic presentation, the denominator is the occiput, thus the fetal position is described as occipito-anterior (OA), occipito-posterior (OP), left or right occipito-transverse (L/ROT). In a breech presentation, the denominator is the sacrum (SA, SP, ST)

Question 45

Presentation

Answer 45

The part of the fetus which is presenting, eg. vertex, breech

Question 46

Asynclitism

Answer 46

Side to side tilt of the fetal head

Question 47

Caput

Answer 47

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

Question 48

Cervical incompetence

Answer 48

Painless cervical dilatation in the second trimester causing preterm labour