Previa
Respiratory Changes in Pregnancy and VTE
Vnotes
FUN OBGYN facts
100
Name three risk factors for Placenta accreta syndrome
c-sections, prior uterine surgery, advanced maternal age, multiparity, Asherman syndrome
100
which med is preferred in the treatment of VTE within and outside of pregnancy
LMWH
100
what are the benefits of Vag hyst (VNOTES) over lap hyst
shorter operating time, lower overall costs, higher satisfaction
100
what is the average size and length of a full term baby in the US?
8 pounds ; 20 in
200
A pt comes in for their anatomy which shows their placenta to be 2.4 cm away from the internal cervical os. What follow-up imaging would you consider?
NONE! (>2 cm away), unless have acretta risk factors
200
what lung volumes decrease in pregnancy
FRC decreases (due to decrease in expiratory reserve volume and residual volume)
200
name this instrument
gel seal cap
200
at any given time approximately what % of women in the US are pregnant
4
300
Delivery timing of placenta previa?
CS 36-37wks
300
Correct this statement: Resting minute ventilation and respiratory rate increase with pregnancy.
False - Resting minute ventilation increases (due to larger tidal volume and increased oxygen consumption), while respiratory rate remains unchanged
300
Name this instrument
Alexis O retractor introducer
300
the longest pregnancy on record is....?
375 days (12.5 mo) - 6 lb 15 oz (what lies are these)
400
Delivery timing of low lying placenta and method?
<1 cm: CS @ 36-37 weeks
1-2 cm: consider term vaginal delivery
400
when should you dc LMWH prior to scheduled IOL? epidural? CS?
12 hours prior to ALL
24 hrs if it is dose-adjusted!
400
what does vnotes stand for
vaginal natural orifice transluminal endoscopic surgery
400
what is the only creature in the animal kingdom in which males can become pregnant?
male seahorses
500
A pt @34w3d comes in with placenta previa bleeding 1 pad/3 hours. She has had one other episode like this? What's your next best step?
(you work at Corewell btw)
Hospitalize and see if bleeding spots; as this is second episode, pt will stay for expectant mgmt, continuous FHT monitoring, CBC, T+S, coags; consider blood products on stand if bleeding episode does not stop; steroids for FLM
if bleeding stops, schedule CS
500
When you should you resume anticoagulation therapy after vaginal delivery? cesarean delivery?
vaginal delivery: 4-6 hours
cesarean delivery: 6-12 hours
500
Describe what you do before placement of Alexis retractor
Step 1: Circular colpotomy and Douglas opening
Step 2: Ligation and section of uterosacral ligaments
Step 3: Opening of the vesicouterine pouch and inserting the Alexis retractor
500
the first recorded woman to survive C-section lived in what century?
16th century Switzerland; her husband, a pig castrator performed the operation (YIKES)