Shoulder, C-section, Haemorrhage Flashcards Preview

Jason's MD3 Women's > Shoulder, C-section, Haemorrhage > Flashcards

Flashcards in Shoulder, C-section, Haemorrhage Deck (25):
1

When does shoulder dystonia happen?

When bone gets stuck on bone,
Unique to cephalosporins presentation

2

Shoulder dystocia signs?

Chin retracts: turtle sign
Anterior shoulder doesn't birth with normal traction

3

When does Shoulder dystonia happen?

50% unknown
50% Macrosomia, post term, DM2

4

Don't do what in Shoulder dystonia?

Don't rotate fetal head
Avoid excessive traction
Avoid fundal pressure

5

Management of Shoulder dystonia?

Robertson Maneuvre +
Suprapubic pressure

6

Shoulder dystonia internal procedure?

Remove Posterior Arm

7

Shoulder dystonia complications?

Brachial plexus
Fracture of clavicle or humerus
Asphyxia
Death

8

Peri mortem C-section benefits who?

Save the mother.

9

2 major reasons for caesarean section Intrapartum?

Failure to progress
Presumed fetal compromise

10

Prep for Caesarean section?

Consent
Left lateral tilt
OT, a aesthetics, padiatrician
IDC
Confirm fetal presetation and heart beat
Abx - preincision ideally


11

Post operative care of Caesarean section?

Analgesia
VTE
Lactation
Mobilization
IV fluids
Bladder Care
Physio
Wound care
Debrief

12

Caesarean section increases risk of what in placenta?

Placenta Previa, accreta

13

Primary risk of vaginal birth after Caesarean section? (VBAC)

Uterine rupture 5-6% chance of fetal death

14

VBAC requirements?

Singleton cephalothorax
Continuous moniting
Immediate access to theatre

15

Why not induce or augment VBAC?

Increase risk of uterine rupture

16

Antepartum haemorrhag def'n?

Bleeding from or into the genital tract between 20weeks of gestation until onset labour

17

What to look for in Antepartum haemorrhage?

May be concealed
Look for SHOCK

18

Partner violence for Antepartum haemorrhage how present?

Small volume and repeated presentations

Sensitive and explicit asking

19

Placental adhesion disorders

Accreta: adhered to myometrium
Increta: into but not through myometrium
Percretaincreta: through myometrium to bladder

20

If placenta praevia, don't do what? What can do?

DON'T do digital exam

DO speculum visualization

21

Local causes of Antepartum haemorrhage?

Cervical E tropics
Malignancy
Cervicitis
Trauma (post coital)

22

Vasa praevia risk to who?

Fetus

23

How to tell vasa praevia in U/S

Doppler to see if it's fetal Heat beat

24

Antepartum haemorrhage when emergency?

Haemodynamic compromise

25

Antepartum haemorrhage management?

Elective C-section