Doctor High Yield Ob-Gyn
Outline post partum hemorrhage
500mL via vaginal
1L if through CS
maximum common purpose of publish partum hemorrhage
uterine atony= spiral a. Can not settlement speedy sufficient because of flaccid, weak uterus
key locating in uterine atony
boggy uterus above umbilicus
first line tx for uterine atony
#1: uterine massage
#2: oxytocin
key US locating and tx in retained placenta
choppy endometrial lining
tx: D&C
risk for laceration inflicting postpartum hemorrhage
forceps shipping
whilst is latent phase of exertions
0-6cm of cervical dilation
whilst is energetic section of hard work
6-10cm of cervical dilation
define arrest of active segment of hard work
1- no cervical exchange over 4h w/ good enough contractions
2- 6h w/o good enough contractions
,define ok contractions
each 2-3 min w/ contractions
or
>200 Montevideo units in 10 minutes
define arrest of descent
10cm max cervical dilation
delivery takes longer than 3h
#1 cause of arrest of descent
Cephalopelvic Disproportion
pathognomonic for uterine rupture
severe pain
toddler's head become at zero station and now at -three station
tough to palpate wherein fetus is in uterus
what's prolapsed wire and tx?
Umbilical twine prolapsed via cervix and is in manner of direction of descent so want to go to
C-segment
causes of fetal tachycardia
one hundred sixty+
maternal fever
define tachysystole and what can it cause to fetus? Tx?
5+ contractions each 10 minutes
fetal bradycardia
tx: terbutaline= B2 agonist
#1 destructive impact of tocolytic
pulmonary edema
, marker to differentiate B thalassemia from different microcytic anemias
accelerated HBA2
ordinary maternal changes in being pregnant
expanded cardiac output
accelerated GFR= glucosuria
breathing alkalosis
multiplied tidal extent= PCO2 lower than average
multiplied plasma extent dilutes RBC= physiologic anemia of being pregnant
shoulder dystocia definition
anterior should gets caught behind mother's pubic bone
first step tx for shoulder dystocia
mcrobert's maneuver= hyperflex the hip
prenatal risk factors for shoulder dystocia
previous hx for mom
macrosomia because of GDM
GDM v pre-GDM-- that is greater dangerous?
Pre-GDM is diabetes before week 20!!
- extra dangerous due to cardiac defects
fetal bradycardia can be because of
maternal hypotension because of reflex vasoconstriction of spiral aa. In attempt to growth
TPR
what reasons vasoconstriction of spiral aa? (2)
uterine atony
cord compression
fetal heart price accelerations
what's ok?
Utilized in fetal non-stress check= measure HR in 20 min
ok= 15 in 15, 2 in 20
increase in HR through 15 in 15 seconds and notice 2 of these in 20 min
Outline post partum hemorrhage
500mL via vaginal
1L if through CS
maximum common purpose of publish partum hemorrhage
uterine atony= spiral a. Can not settlement speedy sufficient because of flaccid, weak uterus
key locating in uterine atony
boggy uterus above umbilicus
first line tx for uterine atony
#1: uterine massage
#2: oxytocin
key US locating and tx in retained placenta
choppy endometrial lining
tx: D&C
risk for laceration inflicting postpartum hemorrhage
forceps shipping
whilst is latent phase of exertions
0-6cm of cervical dilation
whilst is energetic section of hard work
6-10cm of cervical dilation
define arrest of active segment of hard work
1- no cervical exchange over 4h w/ good enough contractions
2- 6h w/o good enough contractions
,define ok contractions
each 2-3 min w/ contractions
or
>200 Montevideo units in 10 minutes
define arrest of descent
10cm max cervical dilation
delivery takes longer than 3h
#1 cause of arrest of descent
Cephalopelvic Disproportion
pathognomonic for uterine rupture
severe pain
toddler's head become at zero station and now at -three station
tough to palpate wherein fetus is in uterus
what's prolapsed wire and tx?
Umbilical twine prolapsed via cervix and is in manner of direction of descent so want to go to
C-segment
causes of fetal tachycardia
one hundred sixty+
maternal fever
define tachysystole and what can it cause to fetus? Tx?
5+ contractions each 10 minutes
fetal bradycardia
tx: terbutaline= B2 agonist
#1 destructive impact of tocolytic
pulmonary edema
, marker to differentiate B thalassemia from different microcytic anemias
accelerated HBA2
ordinary maternal changes in being pregnant
expanded cardiac output
accelerated GFR= glucosuria
breathing alkalosis
multiplied tidal extent= PCO2 lower than average
multiplied plasma extent dilutes RBC= physiologic anemia of being pregnant
shoulder dystocia definition
anterior should gets caught behind mother's pubic bone
first step tx for shoulder dystocia
mcrobert's maneuver= hyperflex the hip
prenatal risk factors for shoulder dystocia
previous hx for mom
macrosomia because of GDM
GDM v pre-GDM-- that is greater dangerous?
Pre-GDM is diabetes before week 20!!
- extra dangerous due to cardiac defects
fetal bradycardia can be because of
maternal hypotension because of reflex vasoconstriction of spiral aa. In attempt to growth
TPR
what reasons vasoconstriction of spiral aa? (2)
uterine atony
cord compression
fetal heart price accelerations
what's ok?
Utilized in fetal non-stress check= measure HR in 20 min
ok= 15 in 15, 2 in 20
increase in HR through 15 in 15 seconds and notice 2 of these in 20 min
