Difference between revisions of "ObGyn"
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| Turner (45 X,O) || Low || Low || High || High || '''HI'''gh | | Turner (45 X,O) || Low || Low || High || High || '''HI'''gh | ||
|- | |- | ||
− | | Edward (trisomy 18) || Low || | + | | Edward (trisomy 18) || High || Low || Low || High || '''HE''' is low |
|- | |- | ||
| Patau (trisomy 13) || High || Low || Low || Low || AF'''P'''atau is High | | Patau (trisomy 13) || High || Low || Low || Low || AF'''P'''atau is High | ||
|} | |} |
Revision as of 19:33, 13 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.
- Quad screen results:
Disease | AFP | Estriol | hCG | Inhibin | Mnemonic |
---|---|---|---|---|---|
Down (trisomy 21) | Low | Low | High | High | HIgh |
Turner (45 X,O) | Low | Low | High | High | HIgh |
Edward (trisomy 18) | High | Low | Low | High | HE is low |
Patau (trisomy 13) | High | Low | Low | Low | AFPatau is High |