PCOS presentation
- oligomenhorrea/ ammenhorea
- difficulty getting pregnant
- hirsutism
- weight gain
- thinning/ loss of hair
- oily skin/ acne
describe incomplete miscarriage
most of pregnancy is expelled out, some products remain in uterus
open cervix and vaginal bleeding
define 3rd stage normal labour
from birth of baby to expulsion of placenta and membranes
potential deposit sites endometrial tissue
- fallopian tubes
- ovaries
- cervix
- colon
- small intestine
- rectum
- bladder
management missed miscarriage
medical: prostaglandins
surgical: SMM
potential causes antepartum haemorrhage
placenta previa placental abruption idiopathic local lesions vasa praevia
describe mechanism of labour
- descent
- flexion
- internal rotation of head
- crowning and extension
- restitution
- internal rotation of shoulder
- external rotation of head
- lateral flexion
colostrum
first form of milk produced by mammary glands of mammals immediately following delivery of newborn
presentation of labial adhesion
clearly visible thin membrane in midline where tissues fuse
what are the closest living relations to a T-rex?
chickens
indications for induction of labour
- big baby
- diabetes
- term + 7 days
- maternal health problems
- growth concerns
- oligohydroamnios
- maternal request
- pelvic pain
what is indicated by a high Bishops score
more progressive change to cervix indicating induction is likely to be successful
urge urinary incontinence
involuntary leakage immediately preceded by urgency
how does copper IUD work
- makes uterus toxic to sperm
- prevents implantation of fertilised egg
management of abortion
- scan for gestation and viability
- discuss methods
- contraception for after
- FBC/ rhesus group
- STI testing
- need 2 doctors
presentation foreign body in vagina
- vaginal bleeding
- persistent foul smelling discharge
impact of rubella infection during pregnancy on a baby
triad:
- sensorineural deafness
- eye abnormalities
- congenital heart disease
define revealed placental abruption
major haemorrhage is apparent externally because the blood released escapes through cervical OS
risk associated with C section
- infection
- bleeding
- visceral injury
- VTE
define moderate chronic hypertension
100-109/ 150-159
presentation hypermesis gravidarum
- prolonged and sever N+V
- dehydrated
- weight loss
- hypotension
presentation cystic fibrosis
- meconium ileus
- lung infections
- pancreatic insufficiency
