OB CRAMSHEETS

• Uterine atony is the primary cause of Early postpartum hemorrhage.
• Normal blood loss after CS is 1000cc.
• Early postpartum hemorrhage occurs within 24 hours postpartum and the cause is UTERINE ATONY.
• Late postpartum hemorrhage is bleeding after 24 hours due to Placental retention.
• Subinvolution is the non returning of the uterus to its prepregnant state.
• Involution is the return of uterus to its prepregnant state.
• After delivery, the fundus should be assessed at the midline.
• The uterus will return to its prepregnant state in 5 weeks.
• The mother should return to her prepregnancy weight in 2 to 3 months after delivery.
• Vaginal or perineal hematoma can be treated by applying ice to relieve pain and swelling.
• Afterpains during pregnancy enhance involution.
• Maternal death of pregnant woman, death within 42 days after expulsion of product of pregnancy
• 1. Woman`s death in post-partum after 42 days expulsion of product of pregnancy?

  Maternal death/Mortality
• How many days,death in post-partum?

  42 days
• Post partum Hemorrhage — Blood loss

  >500cc after delivery or days-weeks later
• Maternal death — death within 42 days after

  expulsion of product of pregnancy.
• Post partum Hemorrhage — Blood loss

  >500cc after delivery or days-weeks later
• what is Postpartum Hemorrhage?

  Excessive bleeding after childbirth.
• Post partum Hemorrhage — Blood loss
• Post partum Hemorrhage — Blood loss

  >500cc after delivery or days-weeks later
• How many cc of Blood loss Postpartum Hemorrhage — Blood loss?

  >500cc after delivery or days-weeks later
• What is uterine atony?

  Uterine atony (atony of the uterus) occurs when your uterus doesn’t contract (or tighten) properly during or after childbirth.
• dystocia diffulty and prolonged labor

  dystocia
• presepetate labor time less than 3hours
• 8-12 hours primi gravida labor
• multigravida time of labor 6-8 hours
• parturient: (of a woman or female mammal) about to give birth; in labour
• safe for delivery is 4 babies
• fetus 2.5 -4kg normal fetus
• 1st stage of labor contraindication do not do valsalva maneuver
• The first stage starts when labor begins and ends with full cervical dilation and effacement. The second stage commences with complete cervical dilation and ends with the delivery of the fetus. The third stage initiates after the fetus is delivered and ends when the placenta is delivered.
• Ritgen's maneuver denotes extracting the fetal head, using one hand to pull the fetal chin from between the maternal anus and the coccyx, and the other on the fetal occiput to control speed of delivery.
• every 4hours IE the mother
• every 2hours post partum mother should void
• In the Schultze method, separation begins in the cen- ter of the placenta (the fetal surface), and this part descends first, with the remainder follow- ing. The Matthew Duncan separation method involves detachment of the leading edge of the placenta, and the entire organ slips down and out of the uterus sideways.
• Glomerular filtration rate (GFR) represents the flow of plasma from the glomerulus into Bowman's space over a specified period and is the chief measure of kidney function..
• common in 2nd trimester pregnancy : Hydronephrosis is a condition where one or both kidneys become stretched and swollen as the result of a build-up of urine inside them.
• stress incontinence is normal in pregnancy due to progesterone
• Urge incontinence is a type of urinary incontinence in adults, which involves sudden compelling urges to void and results in involuntary leakage of urine. common in elderly
• Osiander's sign .an early indication of pregnancy (at eight weeks) in which pulsation can be felt through the lateral vaginal fornix.