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28 Cards in this Set
- Front
- Back
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Transverse lie, back down |
Cesarean section Vertical midline Incision |
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Brow presentation Etiology |
Frontum (ant, post, transverse) Prematurity CPD Grand multiparity |
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Brow presentation |
CD |
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Face presentation |
Fetal head fully extended Occiput against fetal back
Mentum (chin) |
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Mentum anterior |
Vagina delivery |
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Mentum posterior Mentum transverse |
CD |
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OVD Indications |
Engaged fetal head Known head position Operator understands anatomy Operator expertise |
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OVD Indications 2 |
Adequate analgesia Empty bladder and Rectum Patient positioning Availability to go to OR |
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CIs OVD |
<34 week gestation Unknown position of fetal head Head not engaged -bleeding/ bone d/o -no availability of Emergency CD |
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OVD Risks |
Scalp lacerations Cephalohematoma Retinal hemorrhage 38% Subgalela 0.3% Intracranial bleed |
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OVD Maternal |
OB lac Pelvic hematoma |
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Flexion Point |
Over saggital suture 3 cm from the anterior fontanelle Posterior edge abuts the posterior fontanelle |
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ISO immunization |
Back (Definition) |
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Minor antigens |
Kell kills Duffy dies Lewis lives |
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Cerclage candidates |
History (CI) PE (painless dilation) US and Hx PT (<25 mm at 34 w) |
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Low risk |
No Hx PTD
<20 mm before 24 weeks
Vag P |
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17 OH P |
Hx PTD 16-36 w 250 mg IM qd |
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High risk |
History of PTD IM progesterone CL q2w 16-23 w |
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Cerclage |
<25 mm before 24 weeks and Hx of preterm birth before 34 weeks |
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Hx indicated cerclage |
Hx of 1+ second tri Del with painless labor / previous cerclage placed
Placed at 13-14 weeks |
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PTL |
Back (Definition) |
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PTL (cont.) |
Back (Definition) |
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Cervical length/ cerclage |
Back (Definition) |
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Cervical ripening |
Mechanical Synthetic prostaglandins |
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Mechanical dilators |
1. Laminaria 2. Foley balloon 3. Extra amniotic saline infusion |
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Synthetic prostaglandins |
Misoprostol Dinopristone |
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Misoprostol |
PGE 1 25 mcg q 4 hours Vaginal Buccal |
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Oxytocin protocols |
Back (Definition) |
