Terms & Definitions Flashcards

(66 cards)

1
Q

Nullipara

A

A woman who has never been pregnant beyond 20 weeks gestation

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2
Q

Gravid

A

The number of pregnancies, regardless of the outcome

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3
Q

G5P3

A

Gravid 5 = pregnant 5 times (including current pregnancy)

Para 3 = has previously delivered 4 babies at more than 20 weeks gestation

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4
Q

Grand multipara

A

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

NB: these women are at higher risk then average for the subsequent pregnancies

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5
Q

Multiparity

A

?? a women who has been pregnant beyond 20 weeks gestation more than once

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6
Q

Abortion/Miscarriage

A

pregnancy loss BEFORE 20 weeks gestation

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7
Q

Labour

A

REGULAR, PAINFUL contractions
with
cervical CHANGE
after 20 weeks gestation

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8
Q

Low Uterine Segment Caesarean Section

A

Operative delivery of the baby through

an HORIZONTAL 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 a baby through a uterine incision @ LESS than 20 weeks gestation

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11
Q

Preterm labour

A

Labour at LESS than 37 weeks gestation

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12
Q

Premature Pre-labour Rupture of Membranes (PPROM)

A

Rupture of the membranes

  • BEFORE onset of labour labour
  • at LESS than 37 weeks
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13
Q

Pre-labour rupture of membranes (PROM)

A

rupture of membranes before the onset of labour

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14
Q

ARM/AROM

A

Artificial rupture of the membranes

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15
Q

SROM

A

spontaneous rupture of the 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

Estimates the probable date of confinement:
Add 9 months and 7 days to the FIRST day of the LAST menstrual period

NB: correction is required if the patient doesn’t have 28 day cycles

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18
Q

First stage of labour

A

From the start of labour (regular painful contractions w cervical change) until full dilation of the cervix

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19
Q

Second stage of labour

A

From full dilation of the cervix until the birth of the baby

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20
Q

Third stage of labour

A

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

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21
Q

Oxytocic

A

Medication that stimulates contractions of the uterine muscle

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22
Q

Tocolytic

A

Medications to stop uterine contractions

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23
Q

Induction of labour

A

The process of causing a labour to commence

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24
Q

Augmentation of labour

A

The process of stimulating a labour that has already started

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25
Vasa previa
Fetal vessels lying in the membranes in front of the presenting part
26
Placenta previa
Placenta that approaches or covers the internal cervical os in late second or third trimester
27
Antepartum haemorrhage
Bleeding of >5ml from the vagina after 20 weeks gestation
28
Abruption
Separation of the placenta from the uterus in the antenatal or intrapartum period
29
Primary Post-partum haemorrhage
Vaginal bleeding of more than 500ml WITHIN the first 24hrs after delivery
30
Secondary post partum haemorrhage
vaginal bleeding of more than 500ml of blood after the first 24hrs of delivery
31
Placenta accreta
Placenta that invades the myometrium
32
Uterine atony
Abnormal relaxation of the uterus after delivery, usually causing bleeding
33
Isoimmunisation
Blood group antibodies cross the placenta resulting in haemolytic of Fetal red blood cell. Antibodies include D, c, K (Kell), Kidd, Duffy etc
34
CTG
Cardiotocograph
35
Neonatal death
A live born infant who dies within 28 days of birth, of at least 20 weeks gestation or weighing >400g if gestation is unknown
36
Still birth
An infant born after 20 weeks gestation (or birth weight over 400g if gestation unknown) who did not show any signs of life after birth
37
Perinatal mortality rate
The number of stillbirths plus neonatal deaths per 1000 births
38
Maternal death
The death of a woman while pregnant (irrespective of the gestation) or within 42 days of the conclusion of pregnancy irrespective of the cause of death or gestation at delivery
39
Maternal mortality rate
Number of maternal deaths per 100,000 live births
40
Infant death
Death of an infant between 29 days and 1 year of life
41
Station
the level of descent of the presenting part relative to the pelvic brim or symphysis on abdominal palpating or to the ischial spines on on vaginal exam
42
Lie
The relationship between the long axis of the fetid and the long axis of the uterus eg: longitudinal, oblique, transverse
43
Position
The relationship of a defined area on the presenting part (denominator) to the mother's pelvis. In cephalic presentation , the denominator is the occiput, thus the fetal position is described as occipito-anterior (OA), occipito-posterior (OP), left or right occipo-transverse (L/ROT). In breech presentation, the denominator is the sacrum (SA, SP, ST)
44
Presentation
The part of the fetus which is presenting Eg: vertex, breach
45
Asynclitism
Side to side tilt of the Fetal head
46
Caput
Oedema from obstructed venous return in the Fetal scalp caused by pressure of the head against the cervix
47
Cervical incompetence
Painless dilation in the second trimester causing preterm labour
48
Cord prolapse
The cord is alongside or below the presenting part in the presence of ruptured membranes
49
Episiotomy
A surgical incision of the perineum during the second stage of labour
50
Third degree tear
Perineal trauma which involves the vaginal mucosa, perineal muscles and external anal sphincter
51
Second degree tear
Perineal trauma which involves the vaginal mucosa and perineal muscles
52
Lochia
Vaginal discharge during the puerperiun
53
Oligohydramnios
Reduced amniotic fluid
54
Polyhydramnios
Excess amniotic fluid
55
Pre-eclampsia
Hypertension and proteinuria in pregnancy
56
Eclampsia
A seizure in the clinical setting on pre-eclampsia
57
Amniocentesis
sampling of amniotic fluid using a needle through the abdominal wall of the woman
58
Chorionic villus sampling (CVS)
Sampling of the placenta using a needle under ultrasound guidance
59
First stage of labour
From the start of labour until full dilatation of the cervix
60
Second stage of labour
from full dilatation of the cervix to the birth of the baby
61
Third stage of labour
From the birth of the baby until delivery of the placenta and the membranes
62
Spurious or false labour
Uterine contractions which may be regular and/or painful but are not associated with effacement or dilation
63
Oxytocic
Medications that stimulate uterine contractions
64
Tocolytic
Medications that stop uterine contractions
65
Induction of labour
The process of causing labour to commenceq
66
Augmentation of labour
The process of stimulating a labour that has already commenced