Study sets matching "obstetrics complications"

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Study sets matching "obstetrics complications"

Obstetrics Complications...
Threatened spontaneous abortion- (SAB)
Inevitable SAB
incomplete SAB
complete SAB
Bleeding in 1st trimester without loss of tissue/fluid. (1/2…
cervical dilation, and rupture of membranes
cervix opens... but POC haven't passed
all POC passed spontaneously
Threatened spontaneous abortion- (SAB)
Bleeding in 1st trimester without loss of tissue/fluid. (1/2…
Inevitable SAB
cervical dilation, and rupture of membranes
32 terms
Obstetrics Complications
Maternal Mortality
Direct maternal death
Indirect maternal death
Maternal death epidemiology
Death of a woman while pregnant, or within 42 days post-partu…
due to a complication of the pregnancy or delivery
due to pre-existing or new health problem unrelated to pregna…
very preventable, and is a result of lack of access to health…
Maternal Mortality
Death of a woman while pregnant, or within 42 days post-partu…
Direct maternal death
due to a complication of the pregnancy or delivery
38 terms
Obstetrics - Prenatal and Obstetric Complications
Trimesters - what are the week markers…
Term Lengths: ... - Pre-Viable?... - Preterm…
What happens to the CO, HR, and BP dur…
Pre-Natal Tests:... - When do you do trip…
First: Fertilization - 12 weeks (EA) or 14 weeks (GA)... Second…
Pre-Viable: born before 24 weeks... Preterm: 25-37 weeks... Term: 3…
CO and HR increase, and BP lowers (lowest at 24-28 weeks)... GI…
Triple screen (alpha-FP, b-HCG, estriol) / Quad screen (+ inh…
Trimesters - what are the week markers…
First: Fertilization - 12 weeks (EA) or 14 weeks (GA)... Second…
Term Lengths: ... - Pre-Viable?... - Preterm…
Pre-Viable: born before 24 weeks... Preterm: 25-37 weeks... Term: 3…
39 terms
CH41 Obstetrics - Complications
Complications:... Substance Abuse
Complications:... Supine hypotensive synd…
Complications:... Cardiac Conditions
Complications:... Hypertensive Disorders
Illicit drugs used by a drug addicted pregnant woman pass thr…
Enlarged uterus may compress the inferior vena cava.... - May…
When obtaining a medical history for a pregnant patient, dete…
Hypertension is a major cause of mortality and morbidity in p…
Complications:... Substance Abuse
Illicit drugs used by a drug addicted pregnant woman pass thr…
Complications:... Supine hypotensive synd…
Enlarged uterus may compress the inferior vena cava.... - May…
155 terms
Obstetrical Complications
Naegels rule
Most accurate way to date a pregnancy
what is considered premature
what is considered full term
+ 7 days - 3 months
12 week CRL (crown rump length) ultrasound!
20-37 weeks
40 weeks
Naegels rule
+ 7 days - 3 months
Most accurate way to date a pregnancy
12 week CRL (crown rump length) ultrasound!
77 terms
Obstetrical Complications
Primary Postpartum Hemorrhage
Secondary Postpartum Hemorrhage
Average Blood Loss
Causes: Tone
First 24 Hours after Delivery
24 hours-12 weeks after Delivery
NSVD = 500 cc... CSXN = 1000 cc
Uterine Atony (75-90%)... 1. Uterus becomes moosh - does not con…
Primary Postpartum Hemorrhage
First 24 Hours after Delivery
Secondary Postpartum Hemorrhage
24 hours-12 weeks after Delivery
Obstetric Complications
The difference between preterm labor a…
criteria for preterm labor
About ___ % of PTL will resolve on its…
Less than ___ % of women that have PTL…
labor- you MIGHT deliver early... birth- you actually DELIVER ea…
1) 20.0-36.6 wks gestation... 2) regular UC's, more than 6 in 1…
30
10
The difference between preterm labor a…
labor- you MIGHT deliver early... birth- you actually DELIVER ea…
criteria for preterm labor
1) 20.0-36.6 wks gestation... 2) regular UC's, more than 6 in 1…
15 terms
Complicated Obstetrics
chadwick's sign
goodell's sign
Five P's of labor + delivery
stages of labor
bluish discoloration of cervix, vulva + vagina
cervical softening caused by estrogen + progesterone
passenger (fetus)... passage (birth canal)... power (contractions)…
first stage : dilating phase, begins with first contraction;…
chadwick's sign
bluish discoloration of cervix, vulva + vagina
goodell's sign
cervical softening caused by estrogen + progesterone
Obstetric Complications
First trimester bleeding
First trimester bleeding diagnosis
SGA
Symmetric growth restriction
40% of women have some bleeding in the first trimester... 80% of…
Speculum exam to visualize cervix... Bimanual examination to ass…
A neonatal diagnosis that describes an infant who falls below…
Appears around 18 to 20 weeks... Caused by congenital infections…
First trimester bleeding
40% of women have some bleeding in the first trimester... 80% of…
First trimester bleeding diagnosis
Speculum exam to visualize cervix... Bimanual examination to ass…
Obstetric Complications
Non Stress Test (NST) & what is good r…
Stress Test
Vibroacoustic stimulation (VAS)
Biophysical profile
- External monitor around mom ... - 2 accelerations in 20 minute…
- Also called an oxytocin challenge test... - *Pitocin is given…
- Auditory source (often artificial larynx) placed on materna…
- Max 30 minutes watching babies for these 5 cues... - Done via…
Non Stress Test (NST) & what is good r…
- External monitor around mom ... - 2 accelerations in 20 minute…
Stress Test
- Also called an oxytocin challenge test... - *Pitocin is given…
Obstetric Complications:
Cervical Insufficiency:
Premature Rupture of Membranes (PROM)
Preterm Premature Rupture of Membranes…
Premature Rupture of Membranes: Risks
-AKA Incompetent cervix... -If you have cervical insufficiency,…
ROM before onset of labor. For term patients. You would admin…
-ROM prior to term gestation. ... -Causes - Unknown but think it…
-Maternal: Infection. Chorioamnioitis, Endometritis.... -Fetal:…
Cervical Insufficiency:
-AKA Incompetent cervix... -If you have cervical insufficiency,…
Premature Rupture of Membranes (PROM)
ROM before onset of labor. For term patients. You would admin…
161 terms
Obstetric Complications
Antepartum testing includes
NST and indications for performing
Stress test is also called
What is done in a stress test?
-Nonstress test (NST)... -Stress test... -Vibroacoustic Stimulation…
-non-invasive, these are done very often... -put strap around mo…
an oxytocin challenge test
-pitocin is given to cause contractions... -late decelerations w…
Antepartum testing includes
-Nonstress test (NST)... -Stress test... -Vibroacoustic Stimulation…
NST and indications for performing
-non-invasive, these are done very often... -put strap around mo…
20 terms
Obstetric Complications
Ectopic pregnancy
Methotrexate CI (Ectopic Preg)
Spontaneous Abortion
Threatened Abortion
= zygote outside the uterus, MC: ampulla of fallopian tube... RF…
B-HCG >5000... >3cm... Fetal heart activity... check maternal: liver/k…
= nonselective, <20 wks, ... 1st: fetal chromosomal abnormality…
Uterine bleeding: <20 wks... Cervical os: CLOSED... Uterine content…
Ectopic pregnancy
= zygote outside the uterus, MC: ampulla of fallopian tube... RF…
Methotrexate CI (Ectopic Preg)
B-HCG >5000... >3cm... Fetal heart activity... check maternal: liver/k…
obstetrical complications
% of US population with DM
most common medical complication of pr…
incidence of gestational diabetes
risk factors for gestational diabetes
around 9%
diabetes
9%
maternal age... parity... obesity... family history... non-white ethnicity
% of US population with DM
around 9%
most common medical complication of pr…
diabetes
86 terms
Obstetric Complications
early pregnancy loss
1st trimester vaginal bleeding
viable pregnancy dx
most common cause of spontaneous abort…
loss < 20 weeks... pre-embryonic: <5 wks... embryonic: 6-9 wks... feta…
50% will end in spontaneous abortion
live embryo @ 8 wk U/S-> 95% continue... live fetus @ 14 wk U/S-…
chromosomal abnormalities
early pregnancy loss
loss < 20 weeks... pre-embryonic: <5 wks... embryonic: 6-9 wks... feta…
1st trimester vaginal bleeding
50% will end in spontaneous abortion
Obstetric complications
Non-stress test
Positive non-stress test result
Indications for Non-stress test
Gestational period when you can begin…
-non invasive way to check on your babies health through moni…
-2 accelerations in 20 minutes, up 15 beats from baseline for…
-pre-eclampsia ... -gestational diabetes ... -congenital anomalies…
20-24 weeks - 30% reactivity ... -increases to 98% reactivity by…
Non-stress test
-non invasive way to check on your babies health through moni…
Positive non-stress test result
-2 accelerations in 20 minutes, up 15 beats from baseline for…
14 terms
Obstetrical Complications
Common causes of maternal mortality:
Common causes of perinatal mortality:
Uterine spiral arteries
How does decreased placental perfusion…
Pregnancy related hypertension
UPI (uero-placental-insufficiency)... Premature birth
Arteries that spiral between the uterus and the placenta - no…
Restriction of fetal growth... Increased incidence of placental…
Common causes of maternal mortality:
Pregnancy related hypertension
Common causes of perinatal mortality:
UPI (uero-placental-insufficiency)... Premature birth
53 terms
Obstetric complications
Factors associated with preterm labor
Signs and Symptoms of pre-term labor
Medical therapy for prevention of pre-…
Evaluation of patient with pre-term la…
- mom's drug abuse... - mom's stress (physical, mental)... - baby s…
- uterine cramps... - abdominal cramps... - backache... - pelvic press…
Progesterone supplementation: daily vaginal suppositories or…
- history... - external monitoring and uterine palpation for fre…
Factors associated with preterm labor
- mom's drug abuse... - mom's stress (physical, mental)... - baby s…
Signs and Symptoms of pre-term labor
- uterine cramps... - abdominal cramps... - backache... - pelvic press…
Obstetrical Complications
Pre-eclampisa is a condition unique to:
What are the four hypertensive disorde…
What is a common medical complication…
Hypertension complicates what percenta…
Human pregnancy
Gestational hypertension, preeclampsia, eclampsia, and chroni…
Hypertension
5%-10%
Pre-eclampisa is a condition unique to:
Human pregnancy
What are the four hypertensive disorde…
Gestational hypertension, preeclampsia, eclampsia, and chroni…
59 terms
Obstetric Complications
Tx for seizure prophylaxis in pregnant…
Chronic vs. gestational HTN
Mild vs. severe preeclampsia
Superimposed preeclampsia
MgSO4 & Calcium gluconate as antidote. Monitor DTRs
Both >140/90 on <1 occasion, chronic occurs before 20 weeks g…
More than 20 weeks of pregnancy: Mild >140/90 with 1+ protein…
25% of pts w/ chronic HTN develop preeclampsia. Increased ris…
Tx for seizure prophylaxis in pregnant…
MgSO4 & Calcium gluconate as antidote. Monitor DTRs
Chronic vs. gestational HTN
Both >140/90 on <1 occasion, chronic occurs before 20 weeks g…
Obstetric Complications
What is the incidence of maternal mort…
What is the RANGE of incidence of mate…
What is the chief cause of maternal mo…
What is the overall chief cause of mat…
~7 per 100,000 live births
2.7 per 100,000 in Caucasians in MA - 29 per 100,000 in Afric…
airway complications
hemorrhage/bleeding (has lots of anesthetic implications)
What is the incidence of maternal mort…
~7 per 100,000 live births
What is the RANGE of incidence of mate…
2.7 per 100,000 in Caucasians in MA - 29 per 100,000 in Afric…
59 terms
Obstetrical Complications
t/f spotting is very common after inte…
2 most common causes of hemorrhage in…
what is placenta previa?
what is complete placenta previa?
true, mild trauma to the cervix
placenta previa, placental abruption
abnormal implantation of the placenta over or in close proxim…
the entire cervix is covered
t/f spotting is very common after inte…
true, mild trauma to the cervix
2 most common causes of hemorrhage in…
placenta previa, placental abruption
29 terms
Obstetric Complications
Preterm birth
Respiratory Distress Syndrome
Preterm labor
Pathogenesis of preterm labor
-labor/delivery <37 wks... risk factors... -prior PTB... -multiple ges…
-immature type 2 alveolar cells produce less surfactant, incr…
-regular uterine contractions with cervical change prior to 3…
4 processess that result in an end of spontaneous preterm L a…
Preterm birth
-labor/delivery <37 wks... risk factors... -prior PTB... -multiple ges…
Respiratory Distress Syndrome
-immature type 2 alveolar cells produce less surfactant, incr…
19 terms
Obstetric Complications
SGA Fetus
Detection of SGA Fetus
Monitoring the SGA Fetus
Monitoring the SGA Fetus
"Weight or AC below 10th centile for gestational age" BUT thi…
Ultrasound -... Abdominal Circumference (AC)... - Sensitivity 60-70…
If baseline biometry, AFI, umbilical dopplers, fetal movement…
...
SGA Fetus
"Weight or AC below 10th centile for gestational age" BUT thi…
Detection of SGA Fetus
Ultrasound -... Abdominal Circumference (AC)... - Sensitivity 60-70…
Obstetric Complications
Preterm birth definition
Major risk factor of preterm birth
Limits of viability in history due to
Treatments to prevent RDS in prematurity
labor/delivery <37 weeks
prior PTB
respiratory distress syndrome - no surfactant in lungs, decre…
IM corticosteroids... synthetic surfactant
Preterm birth definition
labor/delivery <37 weeks
Major risk factor of preterm birth
prior PTB
57 terms
Obstetric Complication
Triad of Maternal Death
Child Bed Fever
Puerperal Infections
Clinicial Course
Infection, Preeclampsia, Hemorrhage
Puerperal infections... Chorioamnionitis - before delivery... Endom…
Diagnosis ... Temp> 38 degrees ... On any 2 days in first 10 days p…
Fever postpartum > 38.3... Abdominal pain... Uterine tenderness wit…
Triad of Maternal Death
Infection, Preeclampsia, Hemorrhage
Child Bed Fever
Puerperal infections... Chorioamnionitis - before delivery... Endom…
Complications of Pregnancy-Obstetrics
Abortion
Abortion Placenta
Ectopic Pregnancy
Gestational Diabetes
Termination of a pregnancy before the fetus has reached a via…
The premature separation of a normally implanted placenta fro…
Abnormal implantation of a fertilization ovum outside the ute…
A disorder in which women who are not diabetic before pregnan…
Abortion
Termination of a pregnancy before the fetus has reached a via…
Abortion Placenta
The premature separation of a normally implanted placenta fro…
11 terms
Complications of Pregnancy - Obstetrics
abortion
abruptio placenta
ectopic pregnancy
gestational diabetes
Termination of pregnancy before the fetus has reached a viabl…
The premature separation of a normally implanted placenta fro…
Abnormal implantation of a fertilized ovum outside the uterin…
A disorder in which woman who are not diabetic before pregnan…
abortion
Termination of pregnancy before the fetus has reached a viabl…
abruptio placenta
The premature separation of a normally implanted placenta fro…
11 terms
Obstetrics "Complications of Pregnancy"
abortion
abruptio placenta
ectopic pregnancy
gestational diabetes
Termination of a pregnancy before the fetus has reached a via…
The premature seperation of a normally implanted placenta fro…
Abnormal implantation of a fertilized ovum outside the uterin…
Women who are diabetic during time of pregnancy.
abortion
Termination of a pregnancy before the fetus has reached a via…
abruptio placenta
The premature seperation of a normally implanted placenta fro…
64 terms
OBSTETRICS PREGNANCY COMPLICATIONS
Apgar Score
SPONTANEOUS ABORTION (SAB)... *Most comm…
SPONTANEOUS ABORTION Risk factors are…
Complete SAB
Defined as loss of products of conception (POC) prior to the…
■ Chromosomal abnormalities... ■ Maternal factors:... -Maternal tra…
Symptoms/ Signs: Products of conception (POC) are expelled.
Apgar Score
SPONTANEOUS ABORTION (SAB)... *Most comm…
Defined as loss of products of conception (POC) prior to the…
64 terms
OBSTETRICS PREGNANCY COMPLICATIONS copied
Apgar Score
SPONTANEOUS ABORTION (SAB)... *Most comm…
SPONTANEOUS ABORTION Risk factors are…
Complete SAB
Defined as loss of products of conception (POC) prior to the…
■ Chromosomal abnormalities... ■ Maternal factors:... -Maternal tra…
Symptoms/ Signs: Products of conception (POC) are expelled.
Apgar Score
SPONTANEOUS ABORTION (SAB)... *Most comm…
Defined as loss of products of conception (POC) prior to the…
38 terms
Q9: Obstetrics: (Complications)
What type of abortion is classified as…
What type of abortion is classified as…
What type of abortion is classified as…
What type of abortion is classified as…
Threatened
Inevitable
Complete
Incomplete
What type of abortion is classified as…
Threatened
What type of abortion is classified as…
Inevitable
Obstetrics Pregnancy Complications
fetal complications that occur due to…
what increases insulin resistance in p…
when is the glucose test performed?
fasting glucose level should be below
macrosomia, prematurity, fetal demise, delayed fetal lung mat…
human placenta lactogen (hPL)
24-28 weeks
< 105
fetal complications that occur due to…
macrosomia, prematurity, fetal demise, delayed fetal lung mat…
what increases insulin resistance in p…
human placenta lactogen (hPL)
9 terms
Obstetrics: Fetal Complications
cystic hygroma
lemon sign on us?
banana sign on us?
what happens in alloimmune thrombocyto…
congenital lymphatic malformation
nueral tube defect
neural tube defect
baby gets platelet antigens from both mom & dad which causes…
cystic hygroma
congenital lymphatic malformation
lemon sign on us?
nueral tube defect
12 terms
CHAPTER 18 (OBSTETRICS)- COMPLICATIONS OF PREGNANCY
Abruptio Placenta:
Ectopic Pregnancy:
Gestational Diabetes:
Hyperemsis Gravidarum:
-Premature separation of a normally implanted placenta from t…
-Abnormal implantation of a fertilized ovum outside of the ut…
-Disorder in which women who are not diabetic before pregnanc…
Abnormal condition of pregnancy characterized by severe vomit…
Abruptio Placenta:
-Premature separation of a normally implanted placenta from t…
Ectopic Pregnancy:
-Abnormal implantation of a fertilized ovum outside of the ut…
22 terms
CH41 Obstetrics - Complications of Labor
Complications of Labor:... Premature rupt…
Complications of Labor:... Preterm Labor
Complications of Labor:... Fetal distress
Complications of Labor:... Uterine Rupture
Premature rupture of membranes... The amniotic sac ruptures, or…
Preterm labor... Labor that begins after the 20th week but befo…
Fetal distress... Many conditions may cause fetal distress, inc…
Uterine rupture - Occurs during labor... Women at greatest risk…
Complications of Labor:... Premature rupt…
Premature rupture of membranes... The amniotic sac ruptures, or…
Complications of Labor:... Preterm Labor
Preterm labor... Labor that begins after the 20th week but befo…
68 terms
Obstetrics Case 3 - Placental Complications
Placenta Previa - Definition
Placenta Previa - Pathology
Placenta Previa - Types
Placenta Previa - Risk Factors
Presence of placental tissue lying over cervical canal or nex…
• Embryo implants lower in the uterus (near cervix) ... o Potent…
- Marginal placenta previa:... o placental edge lies within 2 cm…
¥ multiparity... ¥ previous history of placenta previa... ¥ incre…
Placenta Previa - Definition
Presence of placental tissue lying over cervical canal or nex…
Placenta Previa - Pathology
• Embryo implants lower in the uterus (near cervix) ... o Potent…
Obstetric Complication of Pregnancy
Uterine anatomy
Ectopic Pregnancy
Risks associated with Ectopic Pregnancy
Symptoms of Ectopic Pregnancy
Any pregnancy outside the uterine cavity. 2nd leading cause o…
1.Prior ectopic pregnancy (10X); 2.PID (6X); 3.I.U.D use; 4.a…
Always suspect in any reproductive age woman with: ... 1. abdomi…
Uterine anatomy
Ectopic Pregnancy
Any pregnancy outside the uterine cavity. 2nd leading cause o…
Obstetrical Neurologic Complications
What are the major causes of postpartu…
What are the most common nerves to suf…
What are the major causes of intrinsic…
What is the time frame for resolution…
- cephalopelvic disproportion... - compression of fetal head on…
- common peroneal... - obturator... - lateral femoral cutaneous
- pressure of fetal head on nerve structures... - pressure on ar…
2-6 days
What are the major causes of postpartu…
- cephalopelvic disproportion... - compression of fetal head on…
What are the most common nerves to suf…
- common peroneal... - obturator... - lateral femoral cutaneous
Manual of Obstetrics, Part 2 - Obstetric Complications
Spontaneous abortion
Factors that increase risk of SAB
Hydatidiform mole
Threatened abortion
The most common complication of early pregnancy.
AMA... Alcohol... Cigarette smoking... Previous SAB... Uterine anomalies
Pts usually present with unusually high beta-HCG levels and a…
most common manifestation is vaginal bleeding, with or withou…
Spontaneous abortion
The most common complication of early pregnancy.
Factors that increase risk of SAB
AMA... Alcohol... Cigarette smoking... Previous SAB... Uterine anomalies
49 terms
Obstetrical Complications III
Aspiration pneumonitis
Risk factors for pulmonary aspiration
S/S of aspiration
Management of aspiration
infectious process from direct chemical injury to lung tissue…
obesity... emergency surgery... difficult/failed intubation... light a…
tachypnea... tachycardia... slight respiratory acidosis... hypoxemia... b…
suction upper airway... intubate... bronch... abx... add pressure support…
Aspiration pneumonitis
infectious process from direct chemical injury to lung tissue…
Risk factors for pulmonary aspiration
obesity... emergency surgery... difficult/failed intubation... light a…
Obstetrical Complications I-III
Small for gestational Age
Intrauterine Growth Restriction (IUGR)
Low Birth Weight
Very Low birth weight
Birth weight less than the 5-10th percentile for gestational…
relies on ultrasound biometry for the estimated fetal weight…
less than 2500 grams
less than 1500 grams
Small for gestational Age
Birth weight less than the 5-10th percentile for gestational…
Intrauterine Growth Restriction (IUGR)
relies on ultrasound biometry for the estimated fetal weight…
18 - Obstetric Complications
type of abortion: bleeding in 1st trim…
bleeding w/ ___ = more ominous... (may a…
T/F: bleeding in pregnancy is normal
___ of threatened abortions will misca…
threatened abortion... (cervix closed)
pain
FALSE... not normal!
half
type of abortion: bleeding in 1st trim…
threatened abortion... (cervix closed)
bleeding w/ ___ = more ominous... (may a…
pain
45 terms
39- Obstetric Complications
IUGR definition
IUGR can be caused by
IUGR diagnosis
Macrosomia diagnosis... What is main eti…
fetus whose weight is <10th percentile at a gestional age
-maternal: nutrition/substance abuse... -abnormal placental fact…
FIND GESTIONAL AGE... UTERINE SIZE... US MEASUREMENTS... -estimated fe…
-fetus with estimated wt. of 4000-4500 grams... diabetes
IUGR definition
fetus whose weight is <10th percentile at a gestional age
IUGR can be caused by
-maternal: nutrition/substance abuse... -abnormal placental fact…
149 terms
Obstetric and Anesthesia Complications
Leakage of amniotic fluid before the o…
How can we tell if fluid is amniotic f…
Treatment of PROM balances risk of inf…
Chorioamnionitis represents infection…
Premature rupture of membranes
pH of fluid turns nitrazine paper from blue to yellow
1. antibiotics and tocolytics for 5-7 days... 2. delivery is ind…
Chorionic and amniotic
Leakage of amniotic fluid before the o…
Premature rupture of membranes
How can we tell if fluid is amniotic f…
pH of fluid turns nitrazine paper from blue to yellow
Complications in obstetrical care
3 types of non-viable pregnancies... maj…
Definition of early pregnancy loss... * P…
When does vaginal bleeding occur?
What does the US see & when... (making a…
1. Spontaneous abortion... 2. Ectopic pregnancy... 3. Hydatiform mo…
Pregnancy loss prior to 20 weeks gestation... * Pre-embryonic: p…
1st Trimester... 25-40% of women have spotting/bleeding... 50% of t…
5.5 weeks = gestational sac... 8 weeks = live embryo - - - 95% o…
3 types of non-viable pregnancies... maj…
1. Spontaneous abortion... 2. Ectopic pregnancy... 3. Hydatiform mo…
Definition of early pregnancy loss... * P…
Pregnancy loss prior to 20 weeks gestation... * Pre-embryonic: p…
118 terms
Obstetric Complications (in chronologic order)
Antepartum testing
Positive results for a non stress test…
Reactivity percentages relative to ges…
Stress test
- Non-stress test -NST... - Stress Test... - Vibroacoustic stimulat…
- 2 accelerations in 20 minutes, up 15 beats from baseline fo…
- 20-24 weeks = 30%... - 24-28 weeks = 50%... - 28-30 weeks = 75%... -…
- We don't want a positive result... - Oxytocin/Pitocin challeng…
Antepartum testing
- Non-stress test -NST... - Stress Test... - Vibroacoustic stimulat…
Positive results for a non stress test…
- 2 accelerations in 20 minutes, up 15 beats from baseline fo…
43 terms
39- Obstetric Complications
Intrauterine Growth Restriction (IUFR)
IUGR can be caused by
IUGR diagnosis
Macrosomia
-low APGAR... -hyperbilirubinemia... -hypoglycemia... -hypothermia... -RD…
-abnormal placental factors... -uterine anomalies
-estimated fetal weight... -amniotic fluid index... -look for anoma…
-fetus with estimated wt. of 4000-4500 grams
Intrauterine Growth Restriction (IUFR)
-low APGAR... -hyperbilirubinemia... -hypoglycemia... -hypothermia... -RD…
IUGR can be caused by
-abnormal placental factors... -uterine anomalies
Pretest: Obstetrical Complications of Pregnancy
abdominal pregnancy
treatment of placenta accreta, increta…
risk factors for placenta previa
most common malformations associated w…
- almost all cases follow early rupture or abortion of tubal…
hysterectomy... risk factors: prior C/S and prior placenta previa
AMA, multiparty, prior CS, and smoking
GI and CNS
abdominal pregnancy
- almost all cases follow early rupture or abortion of tubal…
treatment of placenta accreta, increta…
hysterectomy... risk factors: prior C/S and prior placenta previa
32 terms
Quiz 9: Obstetrical Complications
Define Spontaneous Abortion
Describe the clinical presentation of…
Which of these is indicated for a pati…
Which of these is indicated by SOP for…
Miscarriage
Loss of pregnancy before 20 weeks (period of viability) most…
Provide emotional support
If tissue is passed, transport with the patient
Define Spontaneous Abortion
Miscarriage
Describe the clinical presentation of…
Loss of pregnancy before 20 weeks (period of viability) most…
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