Obstetrics & Emergencies

Life is tough enough without someone kicking you from the inside

100

shows up after 20th week, edema, gradual htn, proteinuria

hypertensive disorders (preeclampsia)

200

persistent N/V, which can be projectile, dehydration, hypovolemia

hyperemesis gravidarum

300

abortion, ectopic pregnancy, placenta previa, abruptio placentae

causes of bleeding during pregnancy

400

Uterus and baby presses on inferior vena cava resulting in hypotension and fetal distress

supine hypotensive syndrome

500

mother Rh negative & father Rh positive, fetal blood enters mother bloodstream, affects subsequent pregnancies 

Rh sensitization

Life doesn't come with a manual, it comes with a mother

100

heart rate, respiratory effort, muscle tone, reflex (grimace), color)

APGAR scoring

200

fetal death while in utero, not expelled

missed abortion

300

abdominal cramping, vaginal bleeding, cervical dilation, partial or complete passage of products of conception

Imminent (inevitable) abortion

400

abdominal cramping, lower back pain, spotting, no cervical dilation, no products of conception passed

threatened abortion

500

first stool of fetus, sticky and enters the fetus' airway, suctioning may be required if depressed neonate

meconium staining

It's not a waddle, it's a pregnancy swag

100

signs of shock, tender abdomen, rigid uterus, fetal heart sounds absent (likely)

abruptio placentae

200

painless vaginal bleeding, uterus soft, non-tender, usually identified early in the pregnancy

Placenta previa

300

umbilical cord wrapped around neonate's neck, fetal heart rate may slow, and heart rate may be depressed

nuchal cord

400

signs and symptoms: acute onset respiratory distress, cyanosis, and/or cardiovascular collapse. risks include placental abruption, uterine over distension

amniotic fluid embolism

500

signs and symptoms: respiratory distress, hypotension, acute hypoxia with cyanosis, possible seizures, cardiorespiratory arrest happens quickly

anaphylactoid syndrome

Peeing on a stick and saving it as a momentum is the first of the disgusting things as a mother

100

onset of labor pains, lasts until cervix dilated, at the end, amniotic sac ruptures

first stage of labor

200

amniotic sac ruptures, more than one hour before labor onset, increases risk of infection

premature rupture of membranes

300

begins as head descends into birth canal, cervix fully dilates, ends with delivery of baby

second stage of labor

400

cord emerges before the fetus, shunts oxygenated blood supply from placenta, leads to fetal asphyxia and results in death or cerebral palsy

prolapsed umbilical cord

500

placenta expelled, uterine contractions squeeze shut blood vessels

third stage of labor

At 8 mos, one doesn't simply roll over in bed

100

termination of pregnancy deemed necessary by physician

therapeutic abortion

200

slowing or stopping of fetal movement

fetal distress

300

fetus born after 40 weeks gestation, risk for malnourishment and meconium aspiration

post-term pregnancy (delivery)

400

placenta fails to detach from uterine wall, uterus inverts, causes rapid shock

uterine inversion

500

labor and birthing process that last less than 3 hours, contractions significantly increased, increase risk of bleeding

precipitous labor and birth