define secondary post partum haemorrhage
loss of >500ml 24hours-6weeks post partum
what does burrito mean in Spanish?
little donkey
management PCOS
- weight loss
- exerise
- COC
- spironolactone
- progestogens
- metformin
- mirena coil
- fertility help when trying to have children
urinary symptoms pelvic organ prolapse
- incontinence
- increased frequency/ urgency
- weak/ prolonged stream
- hesitancy
- incomplete emptying
- manual reduction of prolapse to start or complete voiding
describe level 1 endopelvic support
- utero-sacral ligaments
- cardinal ligaments
heavy menstrual bleeding investigations
- period diary
- pelvic examination
- thyroid function
- pelvic USS
- clotting profile
- laparoscopy
- hysteroscopy
describe intrauterine contraception ‘the coil’
- lasts 5-10 years
- little user input after fitting
- neither women or partner should be aware after fitting
- check threads after every period
- not suitable if untreated pelvic infection present
3 categories of labour problem
- powers
- passenger
- passage
what is meant by malposition in labour
foetal head in incorrect position causing relative CPD
management of HPV infection which is currently causing no problem
watch and wait
typically cleared by body in 2 years
describe symphysiofundal height
symphysis pubis to top of fundus of uterus
indications for suspecting a multiple pregnancy
- large uterine size for date
- multiple heart rates detected
- multiple fetal parts detected
- elevated HCG and maternal serum alpha-feta protein for gestational age
define grade II placenta praevia
placenta reaches internal OS
gonorrhoea presentation women
- unusual vaginal discharge (thin/ watery/ green/ yellow)
- dysuria
- pain/ tenderness lower abdominal
- unusual bleeding
pubic lice presentation
itching especially @ night
inflammation and irrigation
black dots/ blood spots on skin caused by bites
black powder in underwear
define pre-eclampsia
- new hypertension >20 weeks
+ significant proteinuria - mild HT 2x, >4 hours apart
- moderate->severe HT + proteinuria
maternal observations to be carried out during labour
- abdo palpation
- vag examination
- monitoring of liquor
- auscultation foetal heart
- palpation of uterine contractions
- external signs
vasa praevia
condition where fetal blood vessels cross @ cervix
carries risk of rupture
define rectocele
prolapse of lower posterior wall of vagina involving rectum bulging forwards into vagina
amniotomy
artificial rupture of fetal membranes usually using a sharp device
risk factors for overactive bladder syndrome
advanced age
diabetes
UTI
smoking
define female pelvic organ prolapse
descent of pelvic organs towards or through vagina
