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Year 4 - ObGyn > Labour and Delivery > Flashcards

Labour and Delivery Flashcards

(18 cards)

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1
Q

Placental previa
- Definition

A

Placental previa
- Definition

  1. Covering cervical Os
  2. Within 2cm of Os
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2
Q

Lower uterine segment
- Origin

A

Lower uterine segment
- Origin

  1. Uterine Isthmus
  2. Develops after 20 weeks
  3. Not very muscular
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3
Q

Placenta previa
- Grading

A

Placenta previa
- Grading

Minor
1. Within 2cm of Os
2. Touching os

Major
3. Partially covered
4. Completely covered

Abnormal invasive
- Scar invasion
- Uterine wall
- Bladder

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4
Q

Placenta previa
- Scanning

A

Placenta previa
- Scanning

  1. Repeat at 32,36,36,38 weeks
  2. Can move away from Os
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5
Q

Placenta previa
- RFs

A

Placenta previa
- RFs

  1. Recurrent caesarian section
  2. Previous previa
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6
Q

Placenta previa
- Presentation

A

Placenta previa
- Presentation

  1. Asymptomatic
  2. Painless bleeding
  3. Trans vaginally US
  4. Trans abdominal US
    - Full bladder
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7
Q

Placenta previa
- Mx

A

Placenta previa
- Mx

  1. Observe 24hrs if pre term
  2. Elective c section 36-37 weeks
  3. Major obstetric haemorrhage
    - if bleeding heavily
    - haematologist, obstetrician, senior midwife
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8
Q

Abnormal uterine invasion
- Types

A

Abnormal uterine invasion
- Types

  1. Acreta
  2. Increta
  3. Percreta
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9
Q

Labour
- Definition

A

Labour
- Definition

  1. Progressive effacement and dilatation
  2. Regular contractions
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10
Q

Effacement
- Lengths

A

Effacement
- Lengths

  1. Not effaced
    - 4cm
  2. Fully effaced
    - 0cm
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11
Q

Retained placenta
- Primip Vs multip

A

Retained placenta
- Primip Vs multip

1hr Vs 30 mins

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12
Q

Factors affecting labor
- 3ps

A

Factors affecting labor
- 3ps

  1. Passage
  2. Powers
  3. Passenger
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13
Q

Pelvic planes

A

Pelvic planes

  1. Inlet 11cm
  2. Mid cavity
  3. Outlet 10cm
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14
Q

fetal station
- measurement

A

Fetal station
- measurement

  1. Lowest part with ischial spine -2 - +3
  2. bi-parietal diameter with pelvic inlet -2 - +3
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15
Q

Cephalic presentation
- Sub categories

A

Cephalic presentation
- Sub categories

  1. Vertex
  2. Face
  3. Brow
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16
Q

Mechanism of labor
- Stages

Study These Flashcards
A

Mechanism of labor
- Stages

  1. Engagement
  2. Flexion
  3. Descent
  4. Internal rotation
  5. Extension
  6. External rotation
17
Q

Caput succedenium Vs cephalhematoma

Study These Flashcards
A

Caput succedenium Vs cephalhematoma

  • cephalhematoma
    1. Doesn’t cross suture line
    2. Sub periosteum
    3. Blood not oedema
18
Q

Regular contractions

Study These Flashcards
A

Regular contractions
- 3 per 10 minutes

Year 4 - ObGyn (10 decks)

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