OB Handout Flashcards
Maternal Physio, Abortion, GTD, Preterm Labor, Delivery (286 cards)
defined as 3 unsuccessful forceps delivery
failed forceps
the ONLY used forceps delivery
outlet FORCEPS
scalp is visible at introitus without separating the labia
outlet forceps
leading point of fetal skull is at station <2cm and not on pelvic floor
low forceps
degree of perineal lesion that involve
fourchette, perineal skin, and vaginal mucous membrane but not the underlying fascia and muscle
1st degree
criteria prior to operative vaginal delivery
membranes ruptured
cervix completely/fully dilated
fetal head position determined
degree of laceration that extend through skin, mucous membrane, perineal body and anal sphincter
3rd degree
effective 1st line prophylactic uterotonic that is safe to use on all patients
oxytocin
uterotonic drugs contraindicated to hypertensive patients
ergot alkaloids
methylergonovine
Most common complication of 4th degree perineal laceration.
Rectovaginal fistula
breech spontaneous delivery up to the umbilicus, but remaining body is delivered with operator traction
partial breech extraction
2 fingers are inserted along the extremity to the knee, which is then pushed away from the midline after spontaneous flexion
Pinard Maneuver
Goal is to bring fetal feet within reach.
Breech Decomposition
32wks AOG at preterm labor, cervix completely dilated, and the fetus is breech. You are unable to deliver the fetal head. What procedure is applied to resolve the complication?
Dührssen incision
Direct cause of most maternal deaths involving regional anesthesia
High Spinal Blockade
Anesthetic associated with neurotoxicity and cardiotoxicity at virtually identical serum drug levels
Bupivacaine
Most common complication encountered during epidural anesthesia
Hypotension
adverse effects of regional anesthesia
high spinal or epidural blocks
respiratory failure
drug reaction
Interval following delivery required for the typical uterus to complete involution
4 weeks
Lochia, in its various forms, typically resolves after how many weeks post partum?
5 weeks
4 and 6 weeks
contraction of the uterus after delivery
Afterpains
Ovulation of Lactating Women
2nd-18th month after delivery
Organism that has been implicated in late post partum hemorrhage
Chlamydia trachomatis
causes of late post partum hemorrhage
Retained placental fragment
Uterine artery pseudoaneurysm
VW disease or inherited coagulopathies