OBGYN Operative Obstetrics, Substance
Abuse, Teratology questions and answers
Graded A+
What is a Cesarean Section? (definition)
Abdominal delivery of baby
What is TOLAC? (definition)
Trial of Labor after Cesarean
What is VBAC? (definition)
Vaginal Birth after Cesarean (successful TOLAC)
What are the MC indications for Cesarean birth? (3)
Hx C/S, Failure to progress in labor, Cephalopelvic disproportion
What are fetal indications for Cesarean birth? (4)
Intolerance of labor, Malformations, Malpresentation (breech), Fetal macrosomia
What are maternal indications for Cesarean birth? (
Preeclampsia, Active herpes, Cervical CA, Failed induction
What is a fetal + maternal indication for Cesarean birth? (1)
Labor arrest
What are placental & umbilical cord indications for Cesarean birth? (5)
Placenta previa, Vasa previa, Abruption, Cord prolapse, Cord presenting
What is a uterine indications for Cesarean birth? (1)
Vertical uterine incision
What are pelvic indications for Cesarean birth? (4)
Anatomic abnormality, Pelvic mass (Fibroid), Hx complicated birth injury (4th
degree lac, fistula), Hx pelvic reconstruction
, What are types of anesthesia for Cesarean birth? (3, 2 are regional types)
General, Spinal, Epidural
When is General Anesthesia indicated for Cesarean birth? (1)
Rapid induction for rapid C/S (TRUE emergency, neuraxial C/I, failed
spinal/epidural, pt refusal)
What are complications of General Anesthesia for C/S? (2)
Fetal depression, Maternal depression
What are complications of REGIONAL (Spinal, Epidural) Anesthesia for C/S? (3)
Hypotension, HA, Decreased motor function
What is the MC type of ABDOMINAL incision in C/S? (1)
Pfannenstiel incision
What is the MC type of uterine incision in C/S? (1)
Low transverse
What are complications of C/S? (10)
Blood loss, Injury to structures, Atelectasis, PNA, PE, Ileus, UTI/Kidney failure,
Fetal injury, Maternal death, Hysterectomy
What are indications for C/S Hysterectomy? (4)
Malignancy, Placental growth abnormalities (accreta, increta, percreta),
Uncontrollable bleeding, Uterine rupture
What are effects of C/S on fetus/newborn? (2)
TTN, RDS
What is the ranking of risk of VBAC, Failed TOLAC, Elective C/S?
BEST: VBAC
Elective C/D
WORST: Failed TOLAC
What are the best candidates for TOLAC/VBAC? (5)
Abuse, Teratology questions and answers
Graded A+
What is a Cesarean Section? (definition)
Abdominal delivery of baby
What is TOLAC? (definition)
Trial of Labor after Cesarean
What is VBAC? (definition)
Vaginal Birth after Cesarean (successful TOLAC)
What are the MC indications for Cesarean birth? (3)
Hx C/S, Failure to progress in labor, Cephalopelvic disproportion
What are fetal indications for Cesarean birth? (4)
Intolerance of labor, Malformations, Malpresentation (breech), Fetal macrosomia
What are maternal indications for Cesarean birth? (
Preeclampsia, Active herpes, Cervical CA, Failed induction
What is a fetal + maternal indication for Cesarean birth? (1)
Labor arrest
What are placental & umbilical cord indications for Cesarean birth? (5)
Placenta previa, Vasa previa, Abruption, Cord prolapse, Cord presenting
What is a uterine indications for Cesarean birth? (1)
Vertical uterine incision
What are pelvic indications for Cesarean birth? (4)
Anatomic abnormality, Pelvic mass (Fibroid), Hx complicated birth injury (4th
degree lac, fistula), Hx pelvic reconstruction
, What are types of anesthesia for Cesarean birth? (3, 2 are regional types)
General, Spinal, Epidural
When is General Anesthesia indicated for Cesarean birth? (1)
Rapid induction for rapid C/S (TRUE emergency, neuraxial C/I, failed
spinal/epidural, pt refusal)
What are complications of General Anesthesia for C/S? (2)
Fetal depression, Maternal depression
What are complications of REGIONAL (Spinal, Epidural) Anesthesia for C/S? (3)
Hypotension, HA, Decreased motor function
What is the MC type of ABDOMINAL incision in C/S? (1)
Pfannenstiel incision
What is the MC type of uterine incision in C/S? (1)
Low transverse
What are complications of C/S? (10)
Blood loss, Injury to structures, Atelectasis, PNA, PE, Ileus, UTI/Kidney failure,
Fetal injury, Maternal death, Hysterectomy
What are indications for C/S Hysterectomy? (4)
Malignancy, Placental growth abnormalities (accreta, increta, percreta),
Uncontrollable bleeding, Uterine rupture
What are effects of C/S on fetus/newborn? (2)
TTN, RDS
What is the ranking of risk of VBAC, Failed TOLAC, Elective C/S?
BEST: VBAC
Elective C/D
WORST: Failed TOLAC
What are the best candidates for TOLAC/VBAC? (5)
