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12 Cards in this Set

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Complications that can occur with placenta abruption
Hemorrhage, fetal to maternal bleeding,
coagulopathy, and preterm delivery.
Best management for placenta abruption
Delivery (at 35 weeks, the risks of abruption significantly outweigh the risks of prematurity).
risk factors for abruptio placentae
Hypertension (chronic and preeclampsia)
Cocaine use
Short umbilical cord
Trauma
Uteroplacental insufficiency Submucous leiomyomata Sudden uterine decompression (hydramnios)
Cigarette smoking
Preterm premature rupture of membranes
patient complains of painful antepartum bleeding, which is consistent with
placental abruption.
How is placenta abruption dx
Ultrasound examination is not helpful in the majority of cases; a normal ultra- sound examination does not rule out placental abruption. There is no one test that is diagnostic of placental abruption, but rather the clinical picture must be taken as a whole.
Kleihauer–Betke test
, which takes advantage of the different solubilities of mater- nal versus fetal hemoglobin.
seizure (eclampsia prophylaxis)
magnesium sulfate
cervical cancer risk factors
Early age of coitus
Sexually transmitted diseases Early childbearing
Low socioeconomic status Human papillomavirus
HIV infection
Cigarette smoking
Multiple sexual partners
mean age of presentation of cervical cancer
51 years
RADICAL HYSTERECTOMY:
Removal of the uterus, cervix, and supportive ligaments, such as the cardinal ligament, uterosacral ligament, and proximal vagina.
HPV vaccine
The quadrivalent vaccine has been granted FDA approval to be used in females aged 9 to 26. It consists of the anti- gens of HPV subtypes 6 and 11, which cause the majority of condyloma accumi- nata (venereal warts), and more importantly subtypes 16 and 18, which cause 50% to 70% of cervical cancer.
Tx of cervical cancer
Cervical cancer is staged clinically (Table 16–2). Early cervical cancer (contained within the cervix) may be treated equally well with surgery (radical hysterectomy) or radiation therapy. However, advanced cervical cancer is best treated with radiotherapy, consisting of brachytherapy (implants) with teletherapy (whole pelvis radiation) along with chemotherapy, usually platinum-based (cis-platinum), to sensitize the tissue to the radiotherapy.