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Line 1: − =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) − Line 16:
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no edit summary
=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.
*Self breast exams are never recommended.
*Self breast exams are never recommended.
*POP can cause abnormal uterine bleeding.
*POP can cause abnormal uterine bleeding.
*Treat cerebral venous sinus thrombosis with '''LMWH (even in the presence of a hemorrhage)'''
{| class="wikitable"
{| class="wikitable"
|+ Quad Screen Interpretation
|+ Quad Screen Interpretation
| Patau (trisomy 13) || High || Low || Low || Low || AF'''P'''atau is High
| Patau (trisomy 13) || High || Low || Low || Low || AF'''P'''atau is High
|}
|}
=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)