| Basics | Medications | It's time to have your baby! | What went wrong? | Take me to your bleader |
|---|---|---|---|---|
|
What is the percentage of operative deliveries?
3.3%
|
When should anticoagulation be started if indicated during pregnancy?
once viability has been confirmed
|
Late Preterm GA
Early Term GA
34 0/7 to 36 6/7 wks
37 0/7 to 38 6/7 wks |
What nerve was injured if the patient is complaining of anesthesia/parasthesia of the medial thigh and labia?
Genitofemoral nerve
|
Pregnancy is a hyper or hypocoagulable state?
hyper
|
|
What is the average adult menstrual cycle and length of menstruation?
cycle: 28d +/- 7d
menstruation: 4d +/- 2 days |
How do you treat maternal and neonatal Toxoplasmosis?
maternal: Spiramycin
neonatal: Pyramethamine, Sulfadiazine, and Folate |
FGR with reversed end diastolic flow
30 0/7 to 32 0/7 wks
|
Do forceps or vacuums have higher risks of OASIS?
forceps
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What are the high risk thromphophilias?
homozygous Factor V Leiden or Prothrombin mutation
double Factor V Leiden and Prothrombin heterozygous Antithrombin deficiency |
|
What are some US findings suspicious for T21?
increased NT, absent nasal bone, tricuspic regurgitation, abnormal ductus venosus waveforms, echogenic bowel, short femur or humerus, pyelectasis, choroid plexus cysts, echogenic intracardiac foci, thickened nuchal fold
|
Women with viral load >1.000 should receive?
ZDV IV 2mg/kg loading dose over 1 hr and then 1mg/kg/h for 2 hrs before delivery
|
Pregestational DM - uncontrolled, with vascular complications, h/o still birth
36 0/7 to 38 6/7 wks
|
Triad of symptoms of an Iliohypogastric/Ilioinguinal nerve injury
1) sharp, burning pain from incision to suprapubic area, labia, thigh
2) parasthesia over the same areas 3) pain relief after local anesthesia |
Name the ovarian and endometrial phases of the menstrual cycle (in order).
ovary: follicular, ovulation, and luteal
endometrium: menses, proliferative, secretory |
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By when should the external influence be present for NTDs to develop?
before 28 days
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Dose of recommended Folic acid in regular and high risk patients, and when should it be started and continued through
regular risk: 4mcg, at least 1 month through first 12 wks
high risk: 4mg, at least 3 months through first 12 wks |
What are the 3 indications for operative vaginal deliveries?
1) prolonged second stage of labor
2) suspicion of immediate or potential fetal compromised 3) shortening of second stage of labor for maternal benefit |
What defines the lower portion of the ureter and how is an injury at this level repaired
inferior border of SI joint to utererovesical junction
Ureteroneocystotomy with and without Psoas hitch |
Diminished ovarian reserve is associated with
1) AMH <1 ng/mL
2) Antral follicle count <5-7 3) FSH >10 IU/L 4) h/o of poor response to IVF stimulation (<4 oocytes at retrieval) |
|
What are the 4 most common forceps and their uses?
Simpson - lots of molding
Elliot - minimal molding Kielland - rotational Piper - breech |
What is the only FDA approved nonhormonal medication approved for management of vasomotor symptoms in menopausal women?
Paroxetine 7.5mg/d
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How should patients with NTDs be delivered?
generally vaginally but it depends
|
Normal value for semen analysis
V=1.5mL
pH=7.2 [x]=15x10^6 per mL count=39x10^6 per ejaculate motility=40% morphology=4% |
Testing for which thrombophilias is reliable in pregnancy? During acute thrombosis? While on anti-coagulation
all except for Protein S
Factor V Leiden and Prothrombin mutation |
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