Term
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Definition
| >500ml vaginal delivery or >1L c/s; also measured by 10% drop in Hct |
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Term
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Definition
| tachycardia, tachypnea, delayed capillary refill, orthostatic changes, narrowed pulse pressure |
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Term
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Definition
| #1 cause of PPH, inadequate ctx of uterus, tx is infusion of pitocin + methergen or PGEs |
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Term
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Definition
| prolonged or rapid labor, hx of problem before, mediolateral episiotomy, overdistended uterus, operative delivery, Asian or Hispanic ethnicity, chorioamnionitis |
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Term
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Definition
| contain RBCs/WBCs/plasma, 240ml, increase Hct by 3%/unit and Hgb by 1g/dl |
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Term
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Definition
| contains plts/RBCs/WBCs/plasma, 50ml, increase plt count by 5000-10k per unit |
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Term
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Definition
| contains factors V and VIII/fibrinogen/antithrombin III, 250ml, increases fibrinogen by 10mg/dl |
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Term
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Definition
| contains factors VIII and XIII/fibrinogen/vWF, 40ml, increases fibrinogen by 10 mg/dl |
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Term
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Definition
| risks include: previous c/s, uterine leiomyomata, prior curettage, and succenturiate placental lobe; prevents adequate ctx |
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Term
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Definition
| abnormal adherence of placenta to superficial lining |
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Term
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Definition
| penetration into uterine muscle by placenta |
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Term
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Definition
| complete invasion through thickness of uterine muscle |
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Term
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Definition
| signs: resp distress, cyanosis, cardiovascular collapse, hemorrhage, and coma; maternal mortality 30-50%; results in severe coagulopathy |
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Term
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Definition
| fundus extending through cervix and vagina; sudden hemorrhage; tx is manual replacement and tocolytics (terbutaline, mag, etc) |
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Term
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Definition
| 1.3-2% of all pregnancies; 98% in fallopian tube; incidence rising w/ chlamydial infections; inflammation has major role in development; sx: amenorrhea, vaginal bleeding, abdominal pain on affected side; findings based on US and bhCG; tx can be methotrexate or lap excision |
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Term
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Definition
| expulsion of fetus before 20 wks |
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Term
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Definition
| occurs in absence of intervention; 15-25% incidence, 50% due to chromosomal abnormalities (trisomy) |
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Term
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Definition
| bleeding in first tri w/o loss of fluid or tissue; half proceed to spontaneous; greater risk for preterm delivery and low birth weight |
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Term
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Definition
| gross rupture of membranes w/ cervical dilation; uterine ctx follow |
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Term
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Definition
| internal cervical os opens, allowing passage of blood; placental and fetal tissue remains in uterus; can require suction curettage |
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Term
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Definition
| documented pregnancy ending in spontaneous passage of all products of conception |
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Term
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Definition
| retention of failed IUP for extended period, typically more than 2 menstrual cycles; sx is persistent amenorrhea |
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Term
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Definition
| more than 2 consecutive pregnancies lost; first tri usually genetic while later due to maternal/environmental conditions; major factor is antiphospholipid syndrome |
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Term
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Definition
| for pregnancies <49d; 3 meds: RU486, methotrexate, and misoprostol; not always complete and may require surgical intervention |
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Term
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Definition
| infection following complete or incomplete types; sx include sepsis, shock, hemorrhage, and possibly renal failure; most commonly due to illegal Abs by inexperienced practitioners; tx is broad spec abx, IV fluids, and prompt evacuation |
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