Obstetrics
0 Notes by MedSN
, OBSTETRICS
HEMATOLOGIC CHANGES IN PREGNANCY .....................................................................................................1
CHRONIC HYPERTENSION .........................................................................................................................2
WHITE COAT HYPERTENSION ....................................................................................................................2
BREAST ENGORGEMENT...........................................................................................................................3
BREASTFEEDING CONTRAINDICATIONS.........................................................................................................5
MOLAR PREGNANCY ...............................................................................................................................6
BIOPHYSICAL PROFILE .............................................................................................................................6
HYDATIFORM MOLE ...............................................................................................................................7
PREECLAMPSIA DUE TO HYDATIFORM MOLE .................................................................................................7
MANAGEMENT OF HYDATIFORM MOLE .......................................................................................................8
THECA LUTEIN CYSTS...............................................................................................................................9
UTERINE ATONY ....................................................................................................................................9
POSTPARTUM HEMORRHAGE .................................................................................................................. 11
ASSESSING AMOUNT OF BLEEDING ........................................................................................................... 13
AMNIOTIC FLUID EMBOLISM ................................................................................................................... 13
BASELINE FETAL HEARTBEAT ................................................................................................................... 14
FETAL HEARTBEAT VARIABILITY ............................................................................................................... 14
FHR TRACINGS .................................................................................................................................... 15
EARLY DECELERATIONS .......................................................................................................................... 15
LATE DECELERATIONS ............................................................................................................................ 15
VARIABLE DECELERATIONS ..................................................................................................................... 16
SINUSOIDAL FETAL HEART RATE TRACING .................................................................................................. 16
PRETERM FHR TRACINGS ....................................................................................................................... 17
MANAGEMENT OF FHR CATEGORY III ....................................................................................................... 17
FETAL TACHYCARDIA ............................................................................................................................. 17
FETAL STATIONS .................................................................................................................................. 18
UTERINE CONTRACTION ABNORMALITIES ................................................................................................... 19
CALCULATING MONTEVIDEO UNITS .......................................................................................................... 20
DECELERATIONS ................................................................................................................................... 21
TWIN PREGNANCY................................................................................................................................ 22
MONOCHORIONIC MONOAMNIOTIC TWINS RISKS ....................................................................................... 23
T SIGN AND LAMBDA SIGN ...................................................................................................................... 25
TWIN-TWIN TRANSFUSION SYNDROME...................................................................................................... 27
HYPEREMESIS GRAVIDARUM ................................................................................................................... 28
WERNICKE ENCEPHALOPATHY DUE TO HYPEREMESIS GRAVIDARUM ................................................................. 30
THYROID HORMONE PRODUCTION DURING PREGNANCY ............................................................................... 31
NEONATAL THYROTOXICOSIS .................................................................................................................. 32
SHEEHAN SYNDROME............................................................................................................................ 32
MIGRAINES ........................................................................................................................................ 33
TYPES OF ABORTIONS............................................................................................................................ 35
SPONTANEOUS ABORTION ..................................................................................................................... 36
1
, OBSTETRICS
MISSED ABORTION ............................................................................................................................... 37
COMPLETE ABORTION ........................................................................................................................... 38
THREATENED ABORTION ........................................................................................................................ 38
SEPTIC ABORTION ................................................................................................................................ 39
SUBCHORIONIC HEMATOMA ................................................................................................................... 40
UTERINE RUPTURE ............................................................................................................................... 41
INTRAUTERINE FETAL DEMISE.................................................................................................................. 43
ANTIPHOSPHOLIPID ANTIBODY SYNDROME ................................................................................................ 45
SLE .................................................................................................................................................. 46
SLE NEPHRITIS IN PREGNANCY ................................................................................................................ 47
PRETERM LABOR .................................................................................................................................. 48
EXTERNAL CEPHALIC INVERSION............................................................................................................... 49
ABRUPTIO PLACENTAE........................................................................................................................... 50
VASA PREVIA ...................................................................................................................................... 52
PREECLAMPSIA .................................................................................................................................... 53
PREECLAMPSIA PREVENTION ................................................................................................................... 56
STROKE DUE TO PREECLAMPSIA ............................................................................................................... 56
SEIZURE PREVENTION IN PREECLAMPSIA PATIENT WITH MYASTHENIA GRAVIS .................................................... 57
ECLAMPSIA ......................................................................................................................................... 58
PATHOPHYSIOLOGY OF PULMONARY EDEMA IN PREECLAMPSIA/ECLAMPSIA ...................................................... 59
POSTPARTUM PREECLAMPSIA ................................................................................................................. 59
ANTIHYPERTENSIVES IN PREGNANCY ......................................................................................................... 60
ANTEPARTUM FETAL SURVEILLANCE ......................................................................................................... 61
DECREASED FETAL MOVEMENT MANAGEMENT ........................................................................................... 62
INFERTILITY ......................................................................................................................................... 62
FIBROIDS............................................................................................................................................ 63
TYPES OF FIBROIDS ............................................................................................................................... 64
DEGENERATING UTERINE FIBROIDS ........................................................................................................... 64
UTERINE SARCOMA .............................................................................................................................. 65
INTRAUTERINE SYNECHIAE ...................................................................................................................... 66
INTRAHEPATIC CHOLESTASIS OF PREGNANCY............................................................................................... 67
CHOLELITHIASIS IN PREGNANCY ............................................................................................................... 68
POLYMORPHIC ERUPTION OF PREGNANCY .................................................................................................. 69
FETAL GROWTH RESTRICTION ................................................................................................................. 70
HYPERTENSION AND ASYMMETRIC GROWTH RESTRICTION ............................................................................. 71
SEPTIC PELVIC THROMBOPHLEBITIS .......................................................................................................... 72
ANEMIA IN PREGNANCY......................................................................................................................... 72
DIFFERENTIALS OF THROMBOCYTOPENIA IN PREGNANCY ............................................................................... 73
GESTATIONAL THROMBOCYTOPENIA ......................................................................................................... 74
HEPARIN-INDUCED THROMBOCYTOPENIA .................................................................................................. 74
NORMAL PHYSIOLOGIC CHANGES IN PREGNANCY......................................................................................... 75
2
, OBSTETRICS
RENAL CHANGES IN PREGNANCY .............................................................................................................. 76
CARDIOPULMONARY ADAPTATIONS IN PREGNANCY...................................................................................... 76
COAGULATION CASCADE ........................................................................................................................ 77
PLACENTA PREVIA ................................................................................................................................ 78
CERVICAL INSUFFICIENCY ........................................................................................................................ 79
CERVICAL CONIZATION .......................................................................................................................... 80
CERCLAGE PLACEMENT .......................................................................................................................... 81
COLPOSCOPY ...................................................................................................................................... 82
HELLP SYNDROME ............................................................................................................................... 83
MAGNESIUM SULPHATE TOXICITY ............................................................................................................ 84
ECTOPIC PREGNANCY ............................................................................................................................ 85
RISKS OF OBESITY IN PREGNANCY ............................................................................................................ 86
OPERATIVE VAGINAL DELIVERY................................................................................................................ 86
UTERINE INVERSION ............................................................................................................................. 87
WATER INTOXICATION DUE TO OXYTOCIN TOXICITY...................................................................................... 88
OXYTOCIN CONTRAINDICATIONS .............................................................................................................. 88
LATE-TERM PREGNANCY ........................................................................................................................ 89
FETAL DYSMATURITY SYNDROME: ............................................................................................................ 90
LUMBAR PUNCTURE ............................................................................................................................. 90
POSTPARTUM URINARY RETENTION ......................................................................................................... 91
PERINEAL LACERATIONS ......................................................................................................................... 92
VAGINAL ATROPHY ............................................................................................................................... 93
ERB-DUCHENNE PALSY .......................................................................................................................... 94
FETAL MALPOSITION ............................................................................................................................. 95
APPROPRIATE WEIGHT GAIN IN PREGNANCY .............................................................................................. 96
RISK FACTORS FOR FETAL ANEMIA ........................................................................................................... 96
ROUTINE SCREENINGS AND INTERVENTIONS DURING PREGNANCY.................................................................... 97
NEURAL TUBE DEFECT ........................................................................................................................... 98
FOLATE SUPPLEMENT ............................................................................................................................ 98
STI SCREENING .................................................................................................................................... 99
SYPHILIS ............................................................................................................................................ 99
HIV MANAGEMENT DURING PREGNANCY ................................................................................................ 100
HEPATITIS C IN PREGNANCY .................................................................................................................. 101
FETAL FIBRONECTIN ............................................................................................................................ 101
SHORT CERVIX ................................................................................................................................... 102
GBS INFECTION ................................................................................................................................. 103
BRAXTON-HICKS CONTRACTIONS ........................................................................................................... 103
PRENATAL TESTING............................................................................................................................. 104
QUADRUPLE TEST .............................................................................................................................. 105
CELL-FREE FETAL DNA TESTING............................................................................................................. 105
ACUTE CERVICITIS .............................................................................................................................. 106
3
0 Notes by MedSN
, OBSTETRICS
HEMATOLOGIC CHANGES IN PREGNANCY .....................................................................................................1
CHRONIC HYPERTENSION .........................................................................................................................2
WHITE COAT HYPERTENSION ....................................................................................................................2
BREAST ENGORGEMENT...........................................................................................................................3
BREASTFEEDING CONTRAINDICATIONS.........................................................................................................5
MOLAR PREGNANCY ...............................................................................................................................6
BIOPHYSICAL PROFILE .............................................................................................................................6
HYDATIFORM MOLE ...............................................................................................................................7
PREECLAMPSIA DUE TO HYDATIFORM MOLE .................................................................................................7
MANAGEMENT OF HYDATIFORM MOLE .......................................................................................................8
THECA LUTEIN CYSTS...............................................................................................................................9
UTERINE ATONY ....................................................................................................................................9
POSTPARTUM HEMORRHAGE .................................................................................................................. 11
ASSESSING AMOUNT OF BLEEDING ........................................................................................................... 13
AMNIOTIC FLUID EMBOLISM ................................................................................................................... 13
BASELINE FETAL HEARTBEAT ................................................................................................................... 14
FETAL HEARTBEAT VARIABILITY ............................................................................................................... 14
FHR TRACINGS .................................................................................................................................... 15
EARLY DECELERATIONS .......................................................................................................................... 15
LATE DECELERATIONS ............................................................................................................................ 15
VARIABLE DECELERATIONS ..................................................................................................................... 16
SINUSOIDAL FETAL HEART RATE TRACING .................................................................................................. 16
PRETERM FHR TRACINGS ....................................................................................................................... 17
MANAGEMENT OF FHR CATEGORY III ....................................................................................................... 17
FETAL TACHYCARDIA ............................................................................................................................. 17
FETAL STATIONS .................................................................................................................................. 18
UTERINE CONTRACTION ABNORMALITIES ................................................................................................... 19
CALCULATING MONTEVIDEO UNITS .......................................................................................................... 20
DECELERATIONS ................................................................................................................................... 21
TWIN PREGNANCY................................................................................................................................ 22
MONOCHORIONIC MONOAMNIOTIC TWINS RISKS ....................................................................................... 23
T SIGN AND LAMBDA SIGN ...................................................................................................................... 25
TWIN-TWIN TRANSFUSION SYNDROME...................................................................................................... 27
HYPEREMESIS GRAVIDARUM ................................................................................................................... 28
WERNICKE ENCEPHALOPATHY DUE TO HYPEREMESIS GRAVIDARUM ................................................................. 30
THYROID HORMONE PRODUCTION DURING PREGNANCY ............................................................................... 31
NEONATAL THYROTOXICOSIS .................................................................................................................. 32
SHEEHAN SYNDROME............................................................................................................................ 32
MIGRAINES ........................................................................................................................................ 33
TYPES OF ABORTIONS............................................................................................................................ 35
SPONTANEOUS ABORTION ..................................................................................................................... 36
1
, OBSTETRICS
MISSED ABORTION ............................................................................................................................... 37
COMPLETE ABORTION ........................................................................................................................... 38
THREATENED ABORTION ........................................................................................................................ 38
SEPTIC ABORTION ................................................................................................................................ 39
SUBCHORIONIC HEMATOMA ................................................................................................................... 40
UTERINE RUPTURE ............................................................................................................................... 41
INTRAUTERINE FETAL DEMISE.................................................................................................................. 43
ANTIPHOSPHOLIPID ANTIBODY SYNDROME ................................................................................................ 45
SLE .................................................................................................................................................. 46
SLE NEPHRITIS IN PREGNANCY ................................................................................................................ 47
PRETERM LABOR .................................................................................................................................. 48
EXTERNAL CEPHALIC INVERSION............................................................................................................... 49
ABRUPTIO PLACENTAE........................................................................................................................... 50
VASA PREVIA ...................................................................................................................................... 52
PREECLAMPSIA .................................................................................................................................... 53
PREECLAMPSIA PREVENTION ................................................................................................................... 56
STROKE DUE TO PREECLAMPSIA ............................................................................................................... 56
SEIZURE PREVENTION IN PREECLAMPSIA PATIENT WITH MYASTHENIA GRAVIS .................................................... 57
ECLAMPSIA ......................................................................................................................................... 58
PATHOPHYSIOLOGY OF PULMONARY EDEMA IN PREECLAMPSIA/ECLAMPSIA ...................................................... 59
POSTPARTUM PREECLAMPSIA ................................................................................................................. 59
ANTIHYPERTENSIVES IN PREGNANCY ......................................................................................................... 60
ANTEPARTUM FETAL SURVEILLANCE ......................................................................................................... 61
DECREASED FETAL MOVEMENT MANAGEMENT ........................................................................................... 62
INFERTILITY ......................................................................................................................................... 62
FIBROIDS............................................................................................................................................ 63
TYPES OF FIBROIDS ............................................................................................................................... 64
DEGENERATING UTERINE FIBROIDS ........................................................................................................... 64
UTERINE SARCOMA .............................................................................................................................. 65
INTRAUTERINE SYNECHIAE ...................................................................................................................... 66
INTRAHEPATIC CHOLESTASIS OF PREGNANCY............................................................................................... 67
CHOLELITHIASIS IN PREGNANCY ............................................................................................................... 68
POLYMORPHIC ERUPTION OF PREGNANCY .................................................................................................. 69
FETAL GROWTH RESTRICTION ................................................................................................................. 70
HYPERTENSION AND ASYMMETRIC GROWTH RESTRICTION ............................................................................. 71
SEPTIC PELVIC THROMBOPHLEBITIS .......................................................................................................... 72
ANEMIA IN PREGNANCY......................................................................................................................... 72
DIFFERENTIALS OF THROMBOCYTOPENIA IN PREGNANCY ............................................................................... 73
GESTATIONAL THROMBOCYTOPENIA ......................................................................................................... 74
HEPARIN-INDUCED THROMBOCYTOPENIA .................................................................................................. 74
NORMAL PHYSIOLOGIC CHANGES IN PREGNANCY......................................................................................... 75
2
, OBSTETRICS
RENAL CHANGES IN PREGNANCY .............................................................................................................. 76
CARDIOPULMONARY ADAPTATIONS IN PREGNANCY...................................................................................... 76
COAGULATION CASCADE ........................................................................................................................ 77
PLACENTA PREVIA ................................................................................................................................ 78
CERVICAL INSUFFICIENCY ........................................................................................................................ 79
CERVICAL CONIZATION .......................................................................................................................... 80
CERCLAGE PLACEMENT .......................................................................................................................... 81
COLPOSCOPY ...................................................................................................................................... 82
HELLP SYNDROME ............................................................................................................................... 83
MAGNESIUM SULPHATE TOXICITY ............................................................................................................ 84
ECTOPIC PREGNANCY ............................................................................................................................ 85
RISKS OF OBESITY IN PREGNANCY ............................................................................................................ 86
OPERATIVE VAGINAL DELIVERY................................................................................................................ 86
UTERINE INVERSION ............................................................................................................................. 87
WATER INTOXICATION DUE TO OXYTOCIN TOXICITY...................................................................................... 88
OXYTOCIN CONTRAINDICATIONS .............................................................................................................. 88
LATE-TERM PREGNANCY ........................................................................................................................ 89
FETAL DYSMATURITY SYNDROME: ............................................................................................................ 90
LUMBAR PUNCTURE ............................................................................................................................. 90
POSTPARTUM URINARY RETENTION ......................................................................................................... 91
PERINEAL LACERATIONS ......................................................................................................................... 92
VAGINAL ATROPHY ............................................................................................................................... 93
ERB-DUCHENNE PALSY .......................................................................................................................... 94
FETAL MALPOSITION ............................................................................................................................. 95
APPROPRIATE WEIGHT GAIN IN PREGNANCY .............................................................................................. 96
RISK FACTORS FOR FETAL ANEMIA ........................................................................................................... 96
ROUTINE SCREENINGS AND INTERVENTIONS DURING PREGNANCY.................................................................... 97
NEURAL TUBE DEFECT ........................................................................................................................... 98
FOLATE SUPPLEMENT ............................................................................................................................ 98
STI SCREENING .................................................................................................................................... 99
SYPHILIS ............................................................................................................................................ 99
HIV MANAGEMENT DURING PREGNANCY ................................................................................................ 100
HEPATITIS C IN PREGNANCY .................................................................................................................. 101
FETAL FIBRONECTIN ............................................................................................................................ 101
SHORT CERVIX ................................................................................................................................... 102
GBS INFECTION ................................................................................................................................. 103
BRAXTON-HICKS CONTRACTIONS ........................................................................................................... 103
PRENATAL TESTING............................................................................................................................. 104
QUADRUPLE TEST .............................................................................................................................. 105
CELL-FREE FETAL DNA TESTING............................................................................................................. 105
ACUTE CERVICITIS .............................................................................................................................. 106
3
