PregnanC
How many weeks pregnant is a patient with a fundal height of 25 cm.
25 weeks (if fetus growing normally)
Name 3 of the major risk factors for placental abruption.
Trauma (motor vehicle accident), Smoking, Hypertension, Pre-eclampsia, Cocaine use
Miscarriage occurs before ___ weeks and Stillbirth occurs after.
20 weeks
___ and ____ are common psychological conditions experienced by women and their families following miscarriage/stillbirth.
PTSD & Depression
Previous miscarriage increases risk of subsequent pregnancy loss. True or False?
True
What week is the baby considered full-term?
37 weeks
Two maternal complications of placental abruption.
DIC, hypovolemic shock
This is the medical term for stillbirth.
Intrauterine fetal demise
Still births occurs in 1 out of ___ births in the US each year.
160-175
The greatest risk factor for placental abruption in multiparity is _____.
Previous placental abruption.
(Hypertension in primarity)
What are the weeks of the 1st, 2nd, and 3rd trimester?
1st trimester: week 1-12
2nd trimester: week 13-27
3rd trimester: 28-delivery
Premature placental separation usually involves the rupture of the maternal vessels in the _____.
Decidua basalis
These pathogens can cross the placenta causing congenital infections and potentially miscarriage.
TORCHeS!
Toxoplasmosis, Other (Herpes, VZV, Parvovirus), Rubella, CMV, HIV, Syphilis
About ___% of women who had a still birth are treated for first-time depression or PTSD symptoms (compared to 8% of women with uncomplicated pregnancies).
15-25
This is the “money” medicine given during early pregnancy to prevent recurrent miscarriage.
Progesterone
This is the most commonly performed type of Cesarean section incision in the US and most developed countries.
Low-Transverse Cesarean Section
This enzyme is released when the decidual basalis bleeds during placenta abruption which can lead to the complication DIC.
Thromboplastin
This is the major cause (or group of causes) of first trimester miscarriages in developed countries.
What medical management is required after complete miscarriage?
Often no medical management. (sorry trick question)
Follow up care is to monitor physical & emotional recovery.
This is the likely diagnosis in a woman with a history of transient ischemic attacks or DVT and recurrent miscarriages.
Antiphospholipid syndrome
Name these baby positions in the womb.
(See picture)
Cephalic
Breech
Oblique
Transverse
Which of these labs are increased in DIC?
Platelet count, PT, PTT, D-Dimer, Anti-thrombin III, Fibrinogen
PT, PTT, D-Dimer
(Platelet count, Anti-thrombin III, Fibrinogen are decreased)
What type of miscarriage is this?
(Look at pictures)
Missed miscarriage
Threatened miscarriage
Incomplete miscarriage
1) Some women eat their placenta for this reason.
2) Doctors give them this instead which is better than eating a placenta.
1) Placenta has progesterone which helps with preventing PPD after delivery.
2) Doctors can prevent progesterone to prevent postpartum depression.
Placental abruption increases risk of this condition in future pregnancies.
(Look at picture)
Placenta previa