Handbook Glossary Flashcards

(96 cards)

1
Q

Gravid

A

The total number of pregnancies, regardless of outcome

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2
Q

Nullipara

A

A woman who ha never been pregnant beyond 20 weeks gestation

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3
Q

Para/Parity

A

the number of babies born after 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

Pregnancy loss before 20 weeks gestation

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6
Q

Labour

A

Regular painful contraction with cervical change after 20 weeks gestation

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7
Q

Lower uterine segment caesarian section

A

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

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8
Q

Classical caesarian section

A

Operative delivery of the baby through a vertical incision in the upper segment 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 at less than 37 weeks gestation

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11
Q

Prelabour rupture of membrane (PROM)

A

Rupture of the membrane before the onset of labour

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12
Q

Premature pre labour rupture of membranes (PPROM)

A

rupture of the membranes before labour at less than 37 weeks gestation

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13
Q

ARM/AROM

A

artificial future of the membranes

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14
Q

SROM

A

spontaneous rupture of the membrane

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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 die 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 labour

A

from the start of labour until full dilation to the cervix

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18
Q

Second stage labour

A

From full dilation of the cervix until birth of the 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 dilation

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21
Q

Oxytocic

A

medication that stimulates contractions of the uterine muscle

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22
Q

Tocolytic

A

medications to stop uterine contractions

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23
Q

Induction of labour

A

the process of causing labour to commence.

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24
Q

Augmentation of labour

A

the process of stimulating a labour that has already started

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25
Placenta praevia
placenta that approaches the internal cervical os in late second or third trimester.
26
Vasa praevia
foetal vessels lying in the membranes in front of the presenting part
27
Antepartum haemorrhage
bleeding >5ml from the vagina after 20 weeks gestation
28
Abruption
Separation of the placenta from the uterus in the antenatal or intrapartum period
29
Post-partum haemorrhage
vaginal bleeding of more than 500ml in the 1st 24 hours following delivery
30
Secondary post-partum haemorrhage
Vaginal bleeding of more than 500ml more than 24 hours following delivery
31
Placenta accreta
placenta that invades the myometrium
32
Uterine atony
abnormal relaxation of the uterus after delivery, usually causing bleeding
33
Isoimmunisation
blood group antibodies cross the placenta resulting in haemolysis of foetal RBCs. Antigens include D, c, K, Kidd, Duffy etc.
34
CTG
Cardiotocograph
35
Neonatal death
a liveborninfant who dies within 28 days of birth, of at least 20 weeks gestation or weighing >400g if gestation is unknown
36
Stillbirth
an infant born after 20 weeks gestation (or birthweight >400g if gestation is unknown) who did not show signs of life after birth
37
Perinatal mortality rate
the number of stillbirths plus neonatal deaths per 1000 births
38
Maternal death
The death of a woman while pregnant (irrespective of the gestation) or within 42 days of the conclusion of the pregnancy irrespective of the case of death or gestation at delivery.
39
Infant death
death of an infant between 29 days and 1 year of life
40
Maternal mortality rate
number of maternal deaths per 100,000 live births
41
Station
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
42
Lie
the relationship between the long axis of the foetus and the long axis of the uterus (eg. longitudinal, oblique, transverse)
43
Position
the relationship of a defined area of the presenting part (the 'denominator) to the mothers pelvis. In a cephalic presentation, the denominator is the occiput, thus the foetal position os described as occipito-anterior (OA), occipito-posterior (OP), left or right- occipital-transverse (L/ROT). In a breech presentation, the denominator is the sacrum (SA, SP, ST)
44
Presentation
the part of the foetus which is presenting eg. vertex, breech
45
Asynclitism
side to side tilt of the foetal head
46
Caput
Oedema from obstructs venous return in the foetal scalp cause by pressure of the head against the cervix
47
Cervical incompetence
painless cervical dilation int eh second trimester causing preterm labour
48
Cord prolapse
the cord is alongside the presenting part in the presence of rupture membranes
49
Episiotomy
Surgical incision of the perineum during the second stage of labour
50
Third degree tear
perineal trauma, which involves the vaginal mucosa, perineal muscles and external anal sphincter
51
Second degree tear
perineal trauma, which involves the vaginal mucosa and the perineal muscles
52
Lochia
vaginal discharge during the puerperium
53
Oligohydramnios
reduced amniotic fluid
54
Polyhydramnios
excess amniotic fluid
55
Pre-eclampsia
hypertension and proteinuria in pregnancy
56
Eclampsia
A seizure in the clinical setting of pre-eclampsia
57
Amniocentesis
sampling of the amniotic fluid using a needle through the abdominal wall of the woman
58
Chorionic villus sampling (CVS)
Sampling of the placenta using a needle under US guidance
59
External cephalic version
turning a breech baby to cephalic presentation through the maternal abdominal wall
60
Retained placenta
Placenta still in utero, 1 hour after delivery of the baby
61
Precipitate labour
labour less than 4 hours duration
62
Shoulder dystocia
difficulty delivering the shoulders after delivery of the foetal head
63
Puerperium
the 6 weeks following delivery
64
Quickening
maternal perception of foetal movements
65
Restitution
rotation go the foetal head after delivery to align with the back and shoulders
66
Show
a discharge of blood and mucus from the vagina in early labour or in the days preceding labour
67
Phototherapy
use of standard fluorescent white lights of blue light therapy to photoisomerise bilirubin to allow for its excretion
68
Exchange diffusion
a procedure used to treat 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 haemolysis and jaundice.
69
Very low birthweight baby
70
Very low birthweight baby
71
Neonatal respiratory distress
Tachypnoea, increased WOB, noisy breathing and central cyanosis
72
Caesarean hysterectomy
Laparotomy at which the contents of the gravid uterus are delivered, then the uterus is excised (eg. due to placenta accrete)
73
Perimortem CS
Caesarean performed on a moribund or dead woman with a view to preserving her life.
74
Abnormal uterine bleeding (AUB)
an overarching term for disturbed menstrual bleeding, which includes bleeding that is abnormally heavy or abnormal in timing
75
Primary ammenorrhoea
Absence of periods ever
76
Secondary ammenorrhoea
absence of period for a 6 month period or longer
77
Intermenstrual bleeding
Bleeding episodes between normally timed menstrual periods that are either ransom or follow a cyclical pattern.
78
Irregular menstrual bleeding
unpredictable onset of menses, with cycle variations of >20days over a period of 1 year
79
Prolonged menstrual bleeding
menstrual bleeding lasting >8 days on a regular basis
80
Acute AUB
An episode of heavy bleeding that, in the clinician's opinion, is sufficiently heavy to require immediate treatment to prevent further blood loss.
81
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
82
Heavy menstrual bleeding (menorrhagia)
excessive menstrual blood loss that interferes with a woman physical, emotional, social and material QoL, occurring alone, or with other symptoms. Note that this definition includes menstrual bleeding deemed excessive by the patient regardless of its regularity, frequency, or duration.
83
Dysmenorrhoea
pelvic pain during menstruation
84
Dyspareunia
pain with sexual intercourse (vaginal)
85
Mittelschmerz
Lower abdominal pain associated with ovulation
86
Cervical excitation
pain felt by the woman when her cervix is moved during vaginal examination, typically from free blood in the peritoneal cavity
87
Cervical ectropion
the endocervical columnar epithelium protrudes through the external os of the cervix and onto the vaginal portion of the cervix
88
Infertility
failure of a couple to conceive in 1 year
89
Endometriosis
the occurrence of endometrial tissue outside the uterus, most commonly on the pelvic peritoneal surfaces.
90
Adenomyosis
the occurrence of endometrial tissues within the myometrium
91
Pelvic inflammatory disease (PID)
infection of the uterus, fallopian tubes or pelvis
92
Menopause
the final menstrual period
93
Premature menopause
menopause occurring before 40 years of age
94
Climacteric/ perimenopause
the period of time when ovulation function declines and menopausal symptoms appear
95
Post menopause
the time after menopause
96
Lactational amenorrhoea method
effective contraception provided when a woman is fully breast-feeding a baby less than 6 months of age and has no return of menses.