Obstetric Disorders Flashcards
(28 cards)
Severe, persistent nausea and vomiting during pregnancy leading to dehydration and weight loss.
Hyperemesis Gravidarum
Ondansetron – antiemetic
IV fluids – rehydration
Pyridoxine + Doxylamine – safe combo for N/V Collaborative:
Dietitian referral for nutritional management
IV therapy with OB/GYN
Psych referral (if anxiety worsens symptoms)
Fertilized egg implants outside the uterus, usually in a fallopian tube; can rupture and cause life-threatening bleeding.
Ectopic Pregnancy
Methotrexate (for unruptured cases) – stops cell division
Analgesics – pain management Collaborative:
Immediate OB surgical consult if ruptured
Blood type/crossmatch for possible transfusion
Psych support post-loss
A gestational trophoblastic disease where a non-viable fertilized egg grows abnormally, forming a mass of cysts.
Hydatidiform Mole (H. Mole)
Oxytocin – after evacuation to contract uterus
Methotrexate – for persistent gestational trophoblastic disease Collaborative:
OB-GYN for suction curettage
Serial beta-hCG monitoring with lab
Oncology if malignant transformation occurs
Natural loss of pregnancy.
Spontaneous Abortion
Vaginal bleeding with a closed cervix.
Threatened Abortion
Some fetal/placental tissue remains.
Incomplete
All products of conception are expelled.
Complete
Inevitable miscarriage with open cervix.
Imminent
Fetus dies but is not expelled.
Missed
Infection of the uterus following an abortion, often unsafe or incomplete.
Septic Abortion
Broad-spectrum IV antibiotics (e.g., clindamycin + gentamicin)
Oxytocin/Misoprostol – uterine evacuation Collaborative:
OB-GYN emergency surgery
ICU support if sepsis occurs
Virus that weakens the immune system; can be transmitted perinatally.
HIV
Antiretroviral Therapy (ART) – e.g., zidovudine, tenofovir
Neonatal ART prophylaxis Collaborative:
HIV team consultation
C-section scheduling if viral load high
Pediatric infectious disease consult
Infections like chlamydia, gonorrhea, syphilis, and HPV that affect reproductive health.
Sexually Transmitted Infections (STIs)
Penicillin G – syphilis
Azithromycin/Ceftriaxone – chlamydia/gonorrhea
Acyclovir – herpes Collaborative:
Partner treatment
OB follow-up for fetal risk monitoring
Premature cervical dilation leading to second-trimester pregnancy loss.
Incompetent Cervix
Progesterone therapy
Tocolytics if contractions start Collaborative:
OB for cervical cerclage
Serial cervical length monitoring with ultrasound
Placenta partially or totally covers the cervical os, causing painless bleeding.
Placenta Previa
Corticosteroids (e.g., betamethasone) – lung maturity if preterm
IV fluids/blood transfusion – if hemorrhage Collaborative:
OB consult – C-section planning
Strict pelvic rest guidance
Premature separation of the placenta from the uterine wall, causing painful bleeding.
Abruptio Placenta
IV fluids, blood products – shock management
O2 therapy – fetal support Collaborative:
OB for emergency delivery
NICU ready for preterm neonate
Low amniotic fluid levels; can affect fetal development.
Oligohydramnios
IV fluids – maternal hydration
Amnioinfusion during labor Collaborative:
OB for fetal monitoring
Ultrasound scheduling
Excess amniotic fluid; may indicate fetal anomalies or maternal diabetes.
Polyhydramnios
Indomethacin – reduces fetal urine production Collaborative:
OB for monitoring/preterm labor risk
Amnioreduction procedure PRN
Amniotic sac breaks before labor starts.
Premature Rupture of Membranes (PROM)
Antibiotics – prevent infection (e.g., ampicillin)
Corticosteroids – fetal lung maturity
Tocolytics – delay labor Collaborative:
OB admission
Fetal monitoring via NST/BPP
Labor that begins before 37 weeks gestation.
Preterm Labor
Tocolytics (e.g., nifedipine)
Magnesium sulfate – neuroprotection
Corticosteroids Collaborative:
NICU alert
OB for labor management
High blood pressure during pregnancy without proteinuria.
Pregnancy-Induced Hypertension (PIH)
Labetalol / Methyldopa / Nifedipine Collaborative:
Regular BP monitoring
Diet and weight tracking with nutritionist
Hypertension with proteinuria and possible organ damage in pregnancy.
Pre-Eclampsia
Magnesium sulfate – seizure prevention
Antihypertensives Collaborative:
OB delivery planning
Monitor labs with internal medicine
Severe pre-eclampsia with seizures.
Eclampsia
Magnesium sulfate – seizure control
Labetalol / Hydralazine Collaborative:
Emergency OB delivery
Seizure precautions with neuro team
Glucose intolerance during pregnancy.
Gestational Diabetes Mellitus (GDM)
Insulin – if uncontrolled with diet Collaborative:
Nutritionist for diet planning
Endocrinology consult
Baby’s head too large or mother’s pelvis too small for vaginal delivery.
Cephalopelvic Disproportion (CPD)
Usually not medication-managed Collaborative:
OB for C-section scheduling
Anesthesia prep
