Difference between revisions of "ObGyn"
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| + | =Abnormal Labor= | ||
| + | *1st stage (painful contractions leading to cervical dilation) | ||
| + | ** Latent Phase (0-6 cm dilation): Protraction of latent phase is defined as greater than '''14 hours (multip) or 20 hours (nullip) without change in dilation'''. | ||
| + | ** Active Phase (6-10 cm dilation): '''Protraction of active phase''' is defined as ≤1 cm dilation in 2 hr; manage with Pitocin. '''Arrest''' is defined as no change in 4 hours (with adequate contractions) or 6 hours (without adequate contractions); management includes placing an IUPC catheter to determine if contractions are adequate, if yes: C-section, if no: AROM or Pitocin. | ||
| + | *2nd stage (active pushing) | ||
| + | ** Arrest is defined as no change in fetal station in 1-3 hrs (depending on parity and use of neuraxial anesthesia); management is to reduce epidural rate, give Pitocin, consider C-section or forceps delivery. | ||
| + | *3rd stage (delivery of the placenta) | ||
| + | |||
=Missed Concepts= | =Missed Concepts= | ||
*Obesity is a risk factor for POP, but weight loss is not an effective management option. Instead consider pessary or surgery. | *Obesity is a risk factor for POP, but weight loss is not an effective management option. Instead consider pessary or surgery. | ||
| − | |||
*Scuba diving is not recommended during pregnancy. | *Scuba diving is not recommended during pregnancy. | ||
*It's ok to start a new exercise regimen after becoming pregnancy. | *It's ok to start a new exercise regimen after becoming pregnancy. | ||
Revision as of 20:39, 12 January 2023
Abnormal Labor
- 1st stage (painful contractions leading to cervical dilation)
- Latent Phase (0-6 cm dilation): Protraction of latent phase is defined as greater than 14 hours (multip) or 20 hours (nullip) without change in dilation.
- Active Phase (6-10 cm dilation): Protraction of active phase is defined as ≤1 cm dilation in 2 hr; manage with Pitocin. Arrest is defined as no change in 4 hours (with adequate contractions) or 6 hours (without adequate contractions); management includes placing an IUPC catheter to determine if contractions are adequate, if yes: C-section, if no: AROM or Pitocin.
- 2nd stage (active pushing)
- Arrest is defined as no change in fetal station in 1-3 hrs (depending on parity and use of neuraxial anesthesia); management is to reduce epidural rate, give Pitocin, consider C-section or forceps delivery.
- 3rd stage (delivery of the placenta)
Missed Concepts
- Obesity is a risk factor for POP, but weight loss is not an effective management option. Instead consider pessary or surgery.
- Scuba diving is not recommended during pregnancy.
- It's ok to start a new exercise regimen after becoming pregnancy.