Endometriosis
Endometriosis is a chronic gynecologic disorder whose principal manifestations are ____ + ____
chronic pelvic pain & infertility
In 2022, 32% all births in the United States were cesarean deliveries. The most common indication for a primary cesarean is ____.
labor dystocia
Premenstrual disorders are marked by a constellation of symptoms in this phase of the menstrual cycle and typically resolve during menstruation.
Luteal phase
Define postterm pregnancy.
42+0 and beyond.
Late term (41+0 to 41+6)
This singer/songwriter is known for her advocacy and dedication to practicing body positivity and self-love.
Lizzo
According to the NRF, this is the top gift consumers give on Valentines Day.
Candy
T/F: Because definitive diagnose of endometriosis requires surgery/tissue path, diagnostic laparoscopy is recommended for anyone with a high suspicion for endometriosis.
False: can treat presumed diagnosis.
Define failed IOL
Not in active labor after at least 12–18 hours on Pitocin after membrane rupture. Decision to proceed after 18 hours is individualized.
ACOG recommends this treatment for management of affective premenstrual symptoms.
SSRIs (sertraline, paroxetine, and fluoxitine)
- rapid onset of action (compared to when using for tx of depression)
Name 2 fetal and 2 maternal risk of postterm pregnancies.
Fetal: neonatal seizures, MAS, low 5min APGAR score (<4), increase NICU admissions, macrosomia, post maturity syndrome, demise
Maternal: operative vaginal delivery, cesarean, shoulder dystocia, oligo, OASIS, infection, PPH
This olympic runner left Nike to develop her own shoe company after Nike told her to "know her place" and dropped her endorsement by 70% during her pregnancy.
Allyson Felix
What brain chemical is known as the "cuddle" or "love hormone"?
Oxytocin
The pathogenesis is complex but is still thought to be principally associated with attachment and implantation of endometrial glands and stroma on the peritoneum from this mechanism.
Retrograde menstruation
ACOG recommends assessment for this prior to performing a cesarean for second-stage arrest
operative vaginal delivery
ACOG recommends this treatment for the management of overall premenstrual symptoms
combined oral contraceptives
This can be done at ROB visits if the cervix is dilated and is associated with a significant reduction in latter pregnancies.
Membrane sweeping
The first and only black woman to be named Best Actress at the Oscars (2002)
Halle Berry
Parks and Rec popularized this holiday celebrated on Feb 13th
Galentines Day
Described the mechanism of action of Lupron
GnRH agonist > initial surge followed by a drop in LH/FSH (needs pulsatile stimulation, not continuous), ovarian suppression.
There is high-quality evidence to recommend this as adjunctive to the labor process to decrease time to delivery without increasing the cesarean delivery rate, amnioinfusion, chorioamnionitis, cord prolapse, abruption, or postpartum hemorrhage.
Early Amniotomy.
Diagnosis of PMD is based on retrospective report from symptoms in the preceding year and on 2 months of prospective symptom recording (symptom diary) in attempt to avoid this type of bias.
Recall bias
After extensive counseling, a patient declines IOL at 41 weeks and desires expectant management. This should be recommended to decrease the risk of stillbirth.
Antenatal testing.
There are 3 black women who have achieved EGOT status, name 2 of them.
Whoopi Goldberg, Jennifer Hudson, and Viola Davis
William Shakespeare
Patient is planning a TLH/BS for endometriosis. What is their risk of requiring a subsequent surgery with ovarian conservation?
- Within 10%
31%
RCT in 2018 showed no difference in SVD rates in nulliparous individuals with neuraxial anesthesia when comparing immediate with delayed pushing, but showed a longer second stage. The study was stopped early due to these increased risks found in the delayed pushing arm. (name 2/3)
postpartum hemorrhage, chorioamnionitis, neonatal acidemia
Bilateral oophorectomy +/- hysterectomy should be reserved as a treatment option for adults with severe premenstrual symptoms, failed med management, and counseled on permanence/risks. A trial period of this medication is advised prior to assess possible response to surgical management.
GnRH Agonist (Lupron)
Other than US at < 20 wks supporting gestational age of 39 weeks or greater, name 2 other ways to confirm a term gestation.
Documented FHT by doppler for 30 weeks.
+ serum or urine pregnancy test for at least 36 weeks.
This artist got a standing ovation at the grammies after performing a duet with country star Luke Combs.
Artist and Song title
Tracy Chapman - Fast Car
According to Roman mythology, who is the son of Mercury and Venus?
Cupid