Pass
cord prolapse - ✔✔cord is infront of presenting part - membranes not in tact
cord presentation - ✔✔The cord lies below the presenting part with the membranes intact.
occult cord - ✔✔cord lies alongside presenting part
cord prolapse - predisposing factors - ✔✔Mal presentation
hydramnios
prematurity
cord prolapse diagnosis - ✔✔VE on SROM
bradycardia/prolonged variable decels
cord felt or visable
management of cord prolapse - ✔✔help
stop oxytocin
O2 4L
relieve pressure
positions
fill bladder (500-700mL)
expidite delivery
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,cord bloods
positions for cord prolapse - ✔✔knee-chest position
exaggerated sims
what is considered infertile - ✔✔12 months of unprotected sex
1 in 6 coupls
factors affecting infertility - ✔✔age >35
sperm quality
BMI >25
factors causing PCOS - ✔✔insulin resistance
obesity
weakened immune system
dietary choices
genetics
PCOS S+S - ✔✔absence of menstruation
high BP
Stress/depression
Hair loss
excessive body hair
Ashermans syndrome - ✔✔scar tissue inside uterus
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,Ashermans signs and symptoms - ✔✔reduced menstrual flow
pain with menstruation
difficulty getting pregnant
Ashermans causes - ✔✔recurrent miscarriages
infection
stress/smoking/alcohol
Infertility Management - ✔✔progesterone testing
testosterone and prolactin test
Thyroid function test
sperm analysis
USS
Vitamin D
PCOS - commence metformin
Reproductive technologies - ✔✔IVF
Intra cytoplasmic sperm infection
gamete intra fallopian transfer
zygosity - ✔✔degree of identity in the genome of twins
Chorionicity - ✔✔determines whether there is twi placentae, chorions or amnions in twin pregnancy
Dizygotic - ✔✔two zygotes, fraternal twins
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, seperate oocytes
dichorionic - ✔✔multiple pregnancy with two chorionic sacs
diamniotic - ✔✔multiple pregnancy with two amniotic sacs
Monozygotic - ✔✔Identical twins ; one zygote split in half
Monochorionic - ✔✔multiple pregnancy with one chorionic sac
monoamniotic - ✔✔multiple pregnancy with one amniotic sac
twin to twin transfusion - ✔✔intertwin vascular connections within placenta cause circulaory imbalance
doner twin dvelops hypovolaemia, oliguria, oligohydramnios, anameia
receipiant twin develops opposite, leading to circulatory overload and vcardiac failure
Pre-term - ✔✔born alive before 37 weeks
extremely preterm
very preterm
moderate to late preterm - ✔✔less than 27+6
28-31.6
32 to 36+6
causes of preterm - ✔✔altered uterine and cervical physiology
placenta ischeamia
inflammation
stress
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