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Flashcards in Terminology test Deck (72):
1

Nullipara

Woman has not been pregnant beyond 20 weeks gestation

2

Gravid

Number of pregnancies, regardless of outcome

3

Para/ parity

Number of babies born after 20 weeks gestation

4

G6,P4

Gravida 6, Para 4- Pregnant 6 times (including current pregnancy), previously delivered 4 babies at more than 20 weeks gestation

5

Grand multipara

A woman who has delivered 5 or more babies at more than 20 weeks gestation

6

Abortion/ miscarriage

Pregnancy loss before 20 weeks gestation

7

Labour

Regular painful contractions with cervical change after 20 weeks gestation

8

Lower uterine segment caesarean section

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

9

Classical caesarean section

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

10

Hysterotomy

Operative delivery of the baby through a uterine incision at less than 20 weeks gestation

11

Preterm labour

Labour at less than 37 weeks gestation

12

Prelabour rupture of membranes (PROM)

Rupture of membranes before the onset of labour

13

Premature prelabour rupture of membranes (PPROM_

Rupture of the membranes before labour at less than 37 weeks gestation

14

ARM/ AROM

Artificial rupture of the membranes

15

SROM

Spontaneous rupture of membranes

16

Braxton Hicks contractions

Painless uterine contractions in the antenatal period

17

Naegles rule

Estimation of probable date of confinement:
9 mo + 7d to first day of the last menstrual period.
Correction required if Pt does not have 28d cycles

18

First stage of labour

Start of labour --> dilatation of cervix

19

Second stage labour

Full dilatation of the cervix --> birth of the baby

20

Third stage of labour

Birth of the baby --> delivery of placenta and membranes

21

Spurious or false labour

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

22

Oxytocic

Medication to stimulate contraction of the uterine muscle

23

Tocolytic

Medication to stop uterine contraction

24

Induction of labour

Process of causing labour to commence

25

Augmentation of labour

Stimulating a labour that has already started

26

Placenta praevia

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

27

Vasa praevia

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

28

Antepartum haemorrhage

Bleeding 5ml from the vagina after 20 weeks gestation

29

Abruption

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

30

Post partum haemorrhage

Excessive vaginal bleeding within 24 hours delivery

31

Secondary post partum haemorrhage

Excess vaginal bleeding more than 24hrs after delivery

32

Placenta accreta

Placenta that invades the myometrium

33

Uterine atony

Abnormal relaxation of uterus after delivery, usually causing bleeding.

34

Fetal haemolytic disease

Maternal blood group antibodies cross the placenta resulting in haemolysis of fetal red blood cells. Antibodies include D, and others

35

CTG

Cardiotograph

36

Neonatal death

A liveborn infant who dies within 28d of birth, of at least 20w gestation or weighing >400g if gestation is unknown

37

Stillbirth

Infant born after 20 weeks gestation (or birthweight over 400g if gestation unknwon) who did not show any signs of life after birth

38

Perinatal mortality rate

The number of stillbirths + neonatal deaths per 1000 births

39

Maternal death

Death of woman while pregnant (irrespective of gestation) or within 42 days of the conclusion of the pregnancy irrespective of the cause of death or gestation

40

Maternal mortality rate

Number of maternal deaths per 100000 live births

41

Infant death

Death of an infant between 29d-1y of life

42

Station

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

43

Lie

Relationship between the long axis of the fetus and the long axis of the uterus- longitudinal, oblique, transverse

44

Position

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 fetal position is
described as occipito-anterior (OA), occipito-posterior (OP), left or right occipito-transverse
(L/ROT). In a breech presentation, the denominator is the sacrum (SA, SP, ST).

45

Presenation

The part of the fetus which is presenting, e.g. vertex, breech

46

Asynclitism

Side to side tilt of the fetal head

47

Caput

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

48

Cervical incompetance

Painless cervical dilatation in the second trimester causing preterm labour

49

Cord prolapse

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

50

Episiotomy

Surgical incision of the perineum during the second stage of labour

51

Third degree tear

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

52

Second degree tear

Perineal trauma which involves the vaginal mucosa and the perineal muscles

53

Lochia

Vaginal discharge during the puerperium (~6weeks after birth)

54

Oligohydramnios

Reduced amniotic fluid

55

Polyhydramnios

Excess amniotic fluid

56

Pre-eclapsia

HTN and proteinuria in pregnancy

57

Eclapsia

Seizure in clinical setting of pre-eclampsia

58

Amniocentesis

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

59

Chorionic villus sampling (CVS)

Sampling of the placenta using a needle under US guidance

60

External cephalic version

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

61

Retained placenta

Placenta still in utero 1 h after delivery of the fetal head

62

Puerperium

6w following delivery

63

Quickening

Maternal perception of fetal movements

64

Restitution

Rotation of the fetal head after delivery to align with the back and shoulders

65

Show

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

66

Phototherapy

Use of standard fluorescent white light or blue light therapy to photoisomerise bilirubin to allow for its excretion

67

Exchange transfusion

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

68

Low birthweight baby

<2500g

69

Very low birthweight baby

<1500g

70

Neonatal respiratory distress

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

71

Caesarean hysterectomy

Laparotomy at which the contents of the gravid uterus are delivered, then the uterus is removed (due to placenta accreta)

72

Perimortem Caesarean Section

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