Mustafa Mania (PAS)
Where should the hysterotomy be placed during cesarean delivery in PAS cases to minimize bleeding?
As far away from the placenta location as possible.
T/F Systematic review supports the use of local anesthesia for IUD placement.
True
Cleaving time for mono-di TIUP
4-8 days
First line treatment for BV, name 2
T/F insulin crosses the placenta
False
Name two preoperative strategies to reduce morbidity in PAS cases.
anemia optimization
delivery timing
antenatal corticosteroids
delivery location
Max dose mg/kg for Lidocaine without epi.
4.5-5 mg/kg
T/F abnormal umbilical artery Dopplers are detected in up to 20%
True, 70% normalize
up to this percentage of people receive inappropriate treatment for vaginitis (within 5%)
40%
Starting weight based dose of insulin
0.5 mg- .9 mg/kg
This system has replaced the traditional accreta, increta, percreta terminology (name system and classification)
FIGO Grade 1, 2 and 3
Patients should be counseled that local anesthesia may reduce pain but increase this.
operative time
This risk is unique to mono-mono TIUP
cord entanglement
Recurrent BV is defined as this
3 episodes in 12 months, 2 in 6 months
Duration of action glargine
18-24 hr
Delivery timing for grade 2/3 PAS
34-35+6
These populations should be considered higher risk for pain/anxiety and may have different needs for pain mgmt and counseling with office procedures (name 3)
adolescents, gender-diverse individuals, patients with physical or cognitive disabilities or both, patients with chronic pain, and patients with a history of trauma
This percentage of monochorionic twins will have obstetric morbidity/complications (within 5%)
30%
Treatment regimen for recurrent yeast infection supported by CDC.
Weekly diflucan 150 mg
THis insulin has less postprandial hypoglycemia, better control and patient satsifaction and should be chosen over regular insulin
lispro/aspart
Name two experimental strategies mentioned for reducing hemorrhage in PAS surgeries.
aortic or iliac balloon occlusion and multivessel arterial embolization
This pain mgmt options has evidence to support use, although currently not used in our clinic
Topical lidocaine spray or cream
Name 5 stages of TTTS
1. poly/oligo
2. absent bladder
3. abnormal dopplers AEDF
4. Hydrops
5. Death
Vaginal metronidazole gel 0.75%, twice weekly for 3 mo
NPH is abbreviation of this
Neutral protamine Hagedorn