OBGY Flashcards
(23 cards)
Poly hydramnios
AFI more or equal 25
oligo-less then 5 AFI
A_f, pH= 7.1 to 7.3
peak value= 32-34 weeks
First T= ultra filterate of maternal plasma
Dose of Misoprostol for IoL?
25µg = PGE1
p/v-4 hourly- max-6 dose
Dose of Misoprostol for PPH prophylaxis?
6ooµg- Oral
Dose of Carbo prost for PPH?
250 µg- i/m
Dino prostone
PGE2- Cerviprime gel 0.5mg
Complete Mole
Monospermic
80-90%=46XX
a/w Theca lutein cyst
Ovarian Ectopic
Spiegelberg Criteria
Lambda sign/ Twin peak sign?
DCDA best seen 10-14weeks
T Sign?
MCDA
layers?
Innermost- Amnion
Chorion
Yolk sac
Allantois
preg lady-6 weeks Amenorrhea - bleeding - USG empty g. Sac = 2omm diameter Next Step?
Follow up Review USG after I week
Blighted ovum, non viable preg is g. sac more than equal to 25mm with no embryo/yolk Sac
True pelvis?
part below pelvic brim which actually take part in labor
True pelvis = pelvic Inlet + Cavity + outlet
Diagonal conjugate?
at level of pelvic brim, 3 AP dia
Diag C= lower border of PS to sp = 12 cm = can be meas
OC= 10_10.5 cm
TC= 11 cm
Critical OC?
locm- Smallest OC
If oc less then this, VD not possible
Pelvic Cavity
Part b/w pelvic Inlet s& outlet
plane of greatest pelvic dimension
Centre of post of P.S.to b/w S2-S3 Vertebrae laterally obt F
Roomiest part
All Diameter: 12 cm
plane of least pelvic dimension?
ant= lower border of P.S.
post junction of S4 & S5
lat= Ischeal Spine
Trans dia= locm **
Anatomical outlet
post – Tip of Sacrum
Ant= lower border of P.S.
lat= Ischial Tuberosity
Dia= AP= 13cms
Trans= Bituberous= 11cm
** Bituberous dia < 8cm = Contracted
Angle of Inclination
55°
Angle made by pelvic brim with horizontal
Sub-pubic angle
Acute in Males
Obtuse in females
Contracted pelvis
Oc < locm
IID< 8cm
Bituberous < 8Cm
Naegale’s Pelvis?
only one Ala of sacrum +
Robert’s Pelvis
Both ala of Sacrum Absent = .C. Section