Labor Complications — Flashcards

Flashcard 181: Post-operative pelvic pain is suggestive of _____

Answer: pelvic adhesive disease

Flashcard 182: When is suction curettage indicated for spontaneous abortion? _____

Answer: Hemodynamically unstable (e.g. hypotensive, tachycardic) patients with anemia from acute blood loss Note: It is NOT used for unstable ectopic pregnancy (surgical exploration)

Flashcard 183: Serious complication of Bartholin abscess → _____

Answer: necrotizing fasciitis

Extra: Necrotizing fasciitis (Fournier gangrene of the vulva) is a rare but life-threatening complication of a Bartholin gland abscess.

Flashcard 184: What is the likely diagnosis in an intrapartum patient that presents after >18 hours of membrane rupture and prolonged labor with fever and tachycardia? Fetal heart tracing demonstrates fetal tachycardia. _____

Answer: Chorioamnionitis (intra-amniotic infection)

Flashcard 185: How do you manage preterm premature rupture of membrane (PPROM)? < 24 weeks: _____ 24-34 weeks: _____ > 34 weeks: _____ Signs of infection: _____

Answer: abortion

Flashcard 186: Kegel exercises / pessaries / midurethral sling are used for _____ urinary incontinence

Answer: stress

Flashcard 187: Intrauterine fetal demise (stillbirth) = _____ weeks

Answer: ≥ 20

Flashcard 188: What is the likely diagnosis in an afebrile patient that recently delivered a macrosomic baby and now presents with sharp lower midline abdominal pain that radiates to the legs and is exacerbated by ambulation? _____

Answer: Pubic symphysis diastasis

Flashcard 189: Chorioamnionitis or endometritis (often seen with prolonged rupture of membranes) is managed with _____

Answer: ampicillin, gentamicin, and clindamycin

Extra: Ampicillin covers gram-positives (e.g., Enterococcus), gentamicin covers gram-negatives, and clindamycin covers anaerobes. For chorioamnionitis, clindamycin is typically added if a C-section is performed.

Flashcard 190: What should patients in preterm labor at <32 weeks receive? (3) _____

Answer: Tocolytic agent Corticosteroids Magnesium sulfate