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29 Cards in this Set

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Amnioinfusion
Infusion of normal saline warmed to body temperature through an intrauterine catheter into the uterine cavity in an attempt to increase the fluid around the umbilical cord and prevent compression during uterine contractions
Amniotic fluid embolism
Embolism resulting from amniotic fluid entering the maternal bloodstream during labor and birth after rupture of membranes; often fatal to the woman if it is a pulmonary embolism
Antenatal glucocorticoids
Medications administered to the mother for the purpose of accelerating fetal lung maturity when there is increased risk for preterm birth between 24 and 34 weeks of gestation
Augmentation of labor
Stimulation of ineffective uterine contractions after labor has started spontaneously but is not progressing satisfactorily
Breech
Extraction of the infant from the uterus in breech presentation, i.e., when the buttocks of the fetus are presented in labor
Bishop score
Rating system to evaluate inducibility (ripeness) of the cervix; a higher score in-creases the likelihood of a successful induction of labor
Cephalopelvic disproportion (CPD)
Condition in which the infant's head is of such a shape, size, or position that it cannot pass through the mother's pelvis or the maternal pelvis is too small, abnormally shaped, or deformed to allow the passage of a fetus of average size
Cervical insufficiency
The phrase “cervical insufficiency” (CI) refers to a cervix that opens too early, before the baby is full term. This condition is also called incompetent cervix. The cervix is the opening at the base of the uterus
Cesarean birth
Birth of a fetus by an incision through the abdominal wall and uterus
Chorioamnionitis
Inflammatory reaction in fetal membranes to bacteria or viruses in the amniotic fluid, which then become infiltrated with polymorphonuclear leukocytes
Cord prolapse
Protrusion of the umbilical cord in advance of the presenting part
Dysfunctional labor
Abnormal uterine contractions that prevent normal progress of cervical dilation, effacement, or descent
Dystocia
Prolonged, painful, or otherwise difficult labor caused by various conditions associated with the five factors affecting labor (powers, passage, passenger, maternal position, and maternal emotions)
External cephalic version (ECV)
Turning of the fetus to a vertex presentation by external exertion of pressure on the fetus through the maternal abdomen
Fetal fibronectin (fFN)
Fetal fibronectins are glycoproteins found in plasma and produced during fetal life. They appear in the cervical canal early in pregnancy and then again in late pregnancy. Their appearance between 24 and 34 weeks of gestation predicts labor ; The negative predictive value of fetal fibronectin is high (up to 94%). The positive predictive value is lower (46%) This means that it may be possible to predict who will not go into preterm labor, but not who will The test is done during a vaginal examination
Forceps
assisted birth: Vaginal birth in which forceps (i.e. curved-bladed instruments) are used to assist in the birth of the fetal head
Hyperstimulation
Uterine contractions lasting more than 90 seconds or five or more contractions in 10 minutes
Hypertonic labor dysfunction
Uncoordinated, painful, frequent uterine contractions that do not cause cervical dilation and effacement; primary dysfunctional labor
Hypotonic labor dysfunction
Weak, ineffective uterine contractions usually occurring in the active phase of labor; often related to cephalopelvic disproportion or malposition of the fetus; secondary uterine inertia
Induction of labor
Labor brought on by mechanical or pharmacological means
Occiputoposterior (OP) position
A position of the fetus in cephalic presentation in labor, with its occiput directed toward the right (ROP) or left (LOP) posterior quadrant of the maternal pelvis
Precipitous labor
Rapid or sudden labor lasting less than 3 hours from the onset of uterine contractions to complete birth of the fetus
Premature rupture of membranes (PROM)
Rupture of the amniotic sac and leakage of amniotic fluid beginning at least 1 hour before the onset of labor at any gestational age
Preterm premature rupture of membranes(PPROM)
PROM that occurs before 37 weeks of gestation
Preterm labor
Cervical changes and uterine contractions occurring between 20 weeks and 37 weeks of pregnancy
Rupture of uterus
Rupture of the uterus is a rare but very serious obstetric injury that occurs in 1 in 1500 to 2000 births. The most frequent causes of uterine rupture during pregnancy are separation of the scar of a previous classic cesarean birth, uterine trauma (e.g. accidents, surgery), and a congenital uterine anomaly. During labor and birth, uterine rupture may be caused by intense spontaneous uterine contractions, labor stimulation (e.g. oxytocin, prostaglandin), an overdistended uterus (e.g. multifetal gestation), malpresentation, external or internal version, or a difficult forceps-assisted birth. It occurs more commonly in multigravidas than in primigravidas. Classified as complete or incomplete
Shoulder dystocia
Condition in which the head is born but the anterior shoulder cannot pass under the pubic arch
Tocolysis
Inhibition of uterine contractions through administration of medications; used to suppress preterm labor, for version, or as an adjunct to other interventions in the management of fetal compromise related to increased uterine activity
Vacuum extractor
A device to assist delivery consisting of a metal or plastic traction cup that is attached to the fetus's head; negative pressure is applied and traction is made