Terminology Flashcards

1
Q

Nullipara

A

A woman who has never been pregnant beyond 20/40

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2
Q

Gravid

A

Number of pregnancies, regardless of outcome

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3
Q

Para/Parity

A

The number of babies born after 20/40

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4
Q

G6P4

A
Gravida 6, Para 4
6 pregnancies (including current pregnancy) and has previously delivered 4 babies at more than 20/40
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5
Q

Grand multipara

A

A woman who has delivered 5 or more babies at more than 20/40

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6
Q

Abortion/miscarriage

A

Pregnancy loss before 20/40

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7
Q

Labour

A

Regular painful contractions with cervical changes after 20/40

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8
Q

Lower uterine segment caesarean section (LUSCS)

A

Operative delivery of the baby through an incision in the lower uterine segment

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9
Q

Classical caesarean section

A

Operative delivery of a baby through a vertical incision in the upper segment of the uterus

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10
Q

Hysterotomy

A

Operative delivery of the baby through a uterine incision at less than 20/40

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11
Q

Preterm labour

A

Labour at less than 37/40

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12
Q

Prelabour rupture of membranes (PROM)

A

Rupture of the membranes before onset of labour

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13
Q

Premature prelabour rupture of membranes (PPROM)

A

Rupture of the membranes before labour at less than 37/40

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14
Q

ARM/AROM

A

Artificial rupture of membranes

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15
Q

SROM

A

Spontaneous rupture of membranes

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16
Q

Braxton Hicks contractions

A

Painless uterine contractions in the antenatal period

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17
Q

Naegles rule

A

To estimate the probable date of confinement.
Add 9 months and 7 days to the first day of the last menstrual period. A correction is required if the patient does not have 28-day cycles

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18
Q

First stage of labour

A

From the start of labour until full dilation of the cervix

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19
Q

Second stage of labour

A

From full dilation of the cervix until birth of the baby

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20
Q

Third stage of labour

A

From the birth of the baby until the delivery of the placenta and membranes

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21
Q

Spurious or false labour

A

Uterine contractions which may be regular and/or painful, but are not associated with cervical effacement and dilatation

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22
Q

Oxytocic

A

Medication that stimulates the contractions of the uterine muscle

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23
Q

Tocolytic

A

Medication to stop uterine contractions

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24
Q

Induction of labour (IOL)

A

The process of causing labour to commence

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25
Q

Augmentation of labour

A

The process of stimulating a labour that has already started

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26
Q

Placenta praevia

A

Placenta that approaches or covers the internal cervical os in late second or third trimester

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27
Q

Vasa praevia

A

Foetal vessels lying in the membranes in front of the presenting part

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28
Q

Antepartum haemorrhage (APH)

A

Bleeding >5mL from the vagina after 20/40

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29
Q

Abruption

A

Separation of the placenta from the uterus in the antenatal or intrapartum period

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30
Q

Postpartum haemorrhage (PPH)

A

PV bleeding of >500mL in the first 24h post delivery

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31
Q

Secondary post partum haemorrhage

A

PV bleeding of >500mL more than 24h post delivery

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32
Q

Placenta accreta

A

PLacenta that invades the myometrium

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33
Q

Uterine atony

A

Abnormal relaxation of the uterus after delivery, usually causing bleeding

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34
Q

Isoimmunisation

A

Blood group antibodies cross the placenta resulting in haemolysis of the foetal red blood cells.
Antibodies include D, c, K (Kell), Kidd, Duffy etc

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35
Q

CTG

A

Cardiotocograph

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36
Q

Neonatal death

A

A liveborn infant who dies within 28 days of birth, of at least 20/40 or weighing >400gm if gestation is unknown

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37
Q

Stillbirth

A

An infant born after 20/40 (or birthweight >400gm if unknown gestation) who did not show any signs of life after birth

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38
Q

Perinatal mortality rate

A

The number of stillbirths plus neonatal deaths per 1000 births

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39
Q

Maternal death

A

The death of a woman while pregnant (irrespective of the gestation) or within 42 days of the conclusion of the pregnancy irrespective of the cause of death or gestation at delivery

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40
Q

Maternal mortality rate

A

Number of maternal deaths per 100,000 births

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41
Q

Infant death

A

Death of an infant b/w 29 days and 1 year of life

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42
Q

Station

A

The level of descent of the presenting part relative to the pelvic brim or symphysis on abdominal palpation, or to the ischial spines on vaginal examination

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43
Q

Lie

A

The relationship between the long axis of the foetus and the long axis of the uterus
Eg: longitudinal, oblique, transverse

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44
Q

Position

A

The relationship of a defined area on the presenting part (the “denominator”) to the mother’s pelvis. In a cephalic presentation, the denominator is the occiput, thus the foetal position is described as occipito-anterior (OA), occipito-posterior (OP), left or right occipito-transverse (L/ROT). In a breach presentation, the denominator is the sacrum (SA, SP, ST)

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45
Q

Presentation

A

The part of the foetus which is presenting

Eg vertex, breech

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46
Q

Asynclitism

A

Side to side tilt of the foetal head

47
Q

Caput

A

Oedema from obstructed venous return in the foetal scalp caused by pressure of head against the cervix

48
Q

Cervical incompetence

A

Painless cervical dilatation in the second trimester causing preterm labour

49
Q

Cord prolapse

A

The cord is alongside or below the presenting part in the presence of ruptured membranes

50
Q

Episiotomy

A

Surgical incision of the perineum during the second stage of labour

51
Q

Third degree tear

A

Perineal trauma which involves the vaginal mucosa, perineal muscles and external anal sphincter

52
Q

Second degree tear

A

Perineal trauma which involves the vaginal mucosa and perineal muscles

53
Q

Lochia

A

Vaginal discharge during the puerperium

54
Q

Oligohydramnios

A

Reduced amniotic fluid

55
Q

Polyhydramnios

A

Excess amniotic fluid

56
Q

Pre-eclampsia

A

Hypertension and proteinuria in pregnancy

57
Q

Eclampsia

A

A seizure in the clinical setting of preeclampsia

58
Q

Amniocentesis

A

Sampling of amniotic fluid using a needle through the abdominal wall of the woman

59
Q

Chorionic villus sampling (CVS)

A

Sampling of the placenta using a needle under ultrasound guidance

60
Q

External cephalic version

A

Turning a breech baby to cephalic presentation through the maternal abdominal wall

61
Q

Retained placenta

A

Placenta still in utero 1-hour after delivery of the baby

62
Q

Precipitate labour

A

Labour less than 4 hours duration

63
Q

Shoulder dystocia

A

Difficulty delivering the shoulders after delivery of the foetal head

64
Q

Puerperium

A

The 6-weeks following delivery

65
Q

Quickening

A

Maternal perception of foetal movements

66
Q

Restitution

A

Rotation of the foetal head after delivery to align with the back and shoudlers

67
Q

Show

A

A discharge of blood and mucus from vagina in early labour or the days preceding labour

68
Q

Phototherapy

A

Use of standard fluorecent white light and blue light therapy to photoisomerise bilirubin to allow for its excretion

69
Q

Second degree tear

A

Perineal trauma which involves the vaginal mucosa and perineal muscles

70
Q

Lochia

A

Vaginal discharge during the puerperium

71
Q

Oligohydramnios

A

Reduced amniotic fluid

72
Q

Polyhydramnios

A

Excess amniotic fluid

73
Q

Pre-eclampsia

A

Hypertension and proteinuria in pregnancy

74
Q

Eclampsia

A

A seizure in the clinical setting of preeclampsia

75
Q

Amniocentesis

A

Sampling of amniotic fluid using a needle through the abdominal wall of the woman

76
Q

Chorionic villus sampling (CVS)

A

Sampling of the placenta using a needle under ultrasound guidance

77
Q

External cephalic version

A

Turning a breech baby to cephalic presentation through the maternal abdominal wall

78
Q

Retained placenta

A

Placenta still in utero 1-hour after delivery of the baby

79
Q

Precipitate labour

A

Labour less than 4 hours duration

80
Q

Shoulder dystocia

A

Difficulty delivering the shoulders after delivery of the foetal head

81
Q

Puerperium

A

The 6-weeks following delivery

82
Q

Quickening

A

Maternal perception of foetal movements

83
Q

Restitution

A

Rotation of the foetal head after delivery to align with the back and shoudlers

84
Q

Show

A

A discharge of blood and mucus from vagina in early labour or the days preceding labour

85
Q

Phototherapy

A

Use of standard fluorecent white light and blue light therapy to photoisomerise bilirubin to allow for its excretion

86
Q

Exchange transfusion

A

Procedure to treat severe newborn pathological jaundice in which blood is removed and replaced with donor blood. This removes the bilirubin and also the antibodies that have been causing haemolysis and jaundice

87
Q

Low birthweight baby

A
88
Q

Very low birthweight baby

A
89
Q

Neonatal respiratory distress

A

Tachypnoea, increased effort of breathing, noisy breathing and central cyanosis

90
Q

Caesarean hysterectomy

A

Laparotomy at which the contents of the gravid uterus are delivered, then the uterus is excised (eg due to placenta accretia)

91
Q

Perimortem CS

A

Caesarean section performed on a moribund or dead woman with a view to preserving her life

92
Q

Abnormal uterine bleeding (AUB)

A

An overarching term for disturbed menstrual bleeding, which includes bleeding that is abnormally heavy or abnormal in timing

93
Q

Primary ammenorrhoea

A

Absence of periods ever

94
Q

Secondary ammenorrhoea

A

Absence of periods for 6/12

95
Q

Intermenstrual bleeding

A

Bleeding episodes between normally timed menstrual periods that are either random of follow a cyclical pattern

96
Q

Irregular menstrual bleeding

A

Unpredictable onset of menses, with cycle variations of >20d over a period of 1y

97
Q

Prolonged menstrual bleeding

A

Menstrual bleeding lasting >8d on a regular basis

98
Q

Acute AUB

A

An episode of heavy bleeding that, in the clinician’s opinion, is sufficiently heavy to require immediate treatment to prevent further blood loss

99
Q

Chronic AUB

A

Bleeding from the uterine corpus that is abnormal in volume, duration, and/or frequency and has been present for most of the past 6/12

100
Q

Heavy menstrual bleeding (aka menorrhagia)

A

Excessive menstrual blood loss that interferes with a woman’s physical, emotional, social and material quality of life, occurring alone or with other symptoms.
Note that this definition includes menstrual bleeding deemed excessive by the patient regardless of its regularity, frequency or duration

101
Q

Dysmenorrhoea

A

Pelvic pain during menstruation

102
Q

Dyspareunia

A

Pain with sexual intercourse

103
Q

Cervical excitation

A

Pain felt by the woman when her cervix is moved during vaginal examination, typically from free blood in the peritoneal cavity

104
Q

Cervical ectropion

A

The endocervical columnar epithelium protrude through the external os of the cervix and onto the vaginal portion of the cervix.

105
Q

Infertility

A

Failure of a couple to conceive in 1y of unprotected sex

106
Q

Endometrioisis

A

The occurrence of endometrial tissue outside the uterus, most commonly on the pelvic peritoneal surfaces

107
Q

Adenomyosis

A

The occurrence of endometrial tissue within the myometrium

108
Q

Pelvic Inflammatory Disease (PID)

A

Infection of the uterus, fallopian tubes or pelvis

109
Q

Menopause

A

The final menstrual period

110
Q

Premature menopause

A

Menopause occurring

111
Q

Climacteric/perimenopause

A

The periods of time when ovarian function declines and menopausal symptoms appear

112
Q

Post-menopause

A

The time after menopause

113
Q

Lactational amenorrhoea method

A

Effective contraception provided when a women is fully breast-feeding a baby less than 6/12 of age and has no return of menses