Abnormal labor patterns — Flashcards

Flashcard 1: Placental _____ is the premature separation of the placenta from the uterine wall (decidua) prior to delivery of fetus

Answer: abruption

Flashcard 2: In order to do induction of labor, bishop score must be > _____

Answer: 6

Extra: 

Flashcard 3: One risk factor for uterine rupture is a prior _____

Answer: c-section (operation)

Flashcard 4: Inflammation of the endometrium due to retained products of conception, miscarriage, abortion, or foreign body (IUD) is known as _____

Answer: endometritis

Flashcard 5: Placenta _____ is the abnormal penetration of the placenta into the myometrium

Answer: increta

Flashcard 6: A full-thickness disruption of the uterine wall that typically presents with intense, acute abdominal pain, profuse vaginal bleeding, and fetal distress is most likely what condition?_____

Answer: Uterine rupture

Flashcard 7: What are the most common clinical presentations and characteristics of uterine leiomyoma (fibroids)?

Answer: Asymptomatic (most common), Abnormal Uterine Bleeding (AUB), Pelvic pressure, and Miscarriage.

Extra: • Morphology: Well-demarcated, whorled smooth muscle bundles. • Epidemiology: Most common in women aged 20-40, higher incidence in Black women. • Prognosis: Does NOT progress to leiomyosarcoma (which arises de-novo). • Growth: Estrogen-sensitive (increases in pregnancy, decreases in menopause).

Flashcard 8: Common causes/predisposing factors for Postpartum Endometritis?

Answer: Retained products of conception (RPOC) or foreign body in the uterus.

Extra: Postpartum endometritis is the most common cause of postpartum fever. Risk Factors: Cesarean delivery (most significant), prolonged ROM, internal monitoring. Treatment: Gentamicin + Clindamycin +/- Ampicillin.

Flashcard 9: placenta previa

Answer: placenta attaches near or over internal cervical os

Extra: painless vaginal bleeding during any trimestermultiparity, prior C-section

Flashcard 10: What is the classic presentation and associated risk factors for abruptio placentae?

Answer: Painful bleeding in 3rd trimester + DIC risk factors (HTN, Cocaine, Smoking)

Extra: Abruptio placentae is the premature separation of the placenta from the uterine wall. Key features: - Presentation: Sudden-onset painful vaginal bleeding, uterine tenderness, and frequent contractions. - Risk factors: HTN (most common), cocaine use, smoking, trauma, and prior abruption. - Complications: DIC (due to release of tissue factor), hypovolemic shock, and fetal distress.