PDF The OB/GYN Survival Guide - University of Michigan Plasma volume increases progressively throughout normal pregnancy. Complications of pregnancy may include high blood pressure of pregnancy, gestational diabetes, iron-deficiency anemia, and hyperemesis gravidarum [2]. 0 to 12-14 wks = 1st tri, 12-14 to 24-28 = 2nd tri, > 24-28 wks = 3rd tri. In the first stage Micturation--- descent of the fetus causes the bladder to The information in this guide can help you make your best choices to be well. A normal arterial blood gas in a gravid woman is a pH of 7.40 to 7.47, with a Paco2 of 30 to 32 mm Hg and a normal to slightly elevated Pao2. category Z34, Encounter for supervision of normal pregnancy, should be used as the first - listed diagnosis. In case of abnormal uterine . A pregnancy is diagnosed as high risk . Neutrophils: 55 - 70% or 1,800 to 7,800 cells/mm³. Zinc is found in the vesicles of the mossy fiber system of the brain's . in a vertical line measurement (normal here at 5.5 cm). NORMAL PUERPERIUM 2. Current pregnancy symptoms Postcode First name Surname D M YD M YD M Y These notes should be carried by the expectant mother at all times during her pregnancy. A body surface area of 1.73 m2 is the normal mean value for young adults. In general, pregnancy should not restrict someone from normal activity. More specifically, labor requires regular, effective contractions that lead to dilation and effacement of the cervix. Viability @ 24 . Vital Signs were within normal limits. 2. pregnancy, some changes in maternal physiology can occur including increased maternal fat, blood volume, cardiac output, and blood flow to the kidneys and uteroplacental unit, decreased blood . It'll help you prepare for word "baby" to your pregnancy and your new baby. Temperature View Notes - 258011065-OB-GYN-Shelf-Review-Notes-2.pdf from MED 051704 at Harvard University. deficiency leads to complications of pregnancy and childbirth, lower birth weight and poor growth in childhood, reduced immune- Jayant Deshpande et al. (6) If serum ferritin levels are normal or elevated in the presence of low hemoglobin, further investigation into possible hemoglobinopathies (e.g. LABOR: DEFINITION AND PHYSIOLOGY. • Define the terms karyotype, autosomal and sex chromosomes. Colposcopic impression: Normal/Benign Findings Low Grade High Grade Cancer Other findings: _____ Cervical biopsies obtained (Note: 2 or more biopsies increase the sensitivity of colposcopy): Maternity Normal Values Fetal Heart Rate: 120—160 bpm Variability: 6—10 bpm Amniotic fluid: 500—1200 ml Contractions: 2—5 minutes apart with duration of < 90 seconds and intensity of <100 mmHg. Immediately after delivery, the uterus weighs approximately 1 kg, and its size approximates that of a 20-week pregnancy (at the level of the umbilicus). • These codes should not be used in conjunction with chapter 15 codes. Among Gram positive organisms, in contrast, Staphylococcus aureus uncommonly causes cystitis and ascending pyelonephritis, whereas Staphylococcus saprophyticus, which adheres significantly better to uroepithelium than do Staphylococcus aureus or Staphylococcus epidermidis, is a frequent cause of lower urinary tract infections. The Department of Health would like to thank all those involved in shaping the updated edition of The Pregnancy Book, including the mothers and fathers, medical and health professionals, and the requires more than the "normal amount" of services • Every 4 weeks for the first 24 weeks of gestation • Every 2-3 weeks until the 36. th. KEY MESSAGES OF LESSON: 1) Pregnancy begins when a fertilized egg implants in the uterus. Gestational sac on transvag U/S @ b-hCG of 1500-2000 (5wks) Fetal heart @ b-hCG of 5-6000 (6wks) TPAL: remember abortus = < 20 wk losses (TAB/SAB/ectopic) Dates & stuff 0-8wks = embryo, 8wks-birth = fetus. Explain how many of each is present in a gamete and in a somatic cell. Note that understanding how pregnancy happens and how women know they are pregnant is helpful for everyone, including young people, their friends, and family. Pregnancy Blahs - 10% experience mild to moderate depression Breathlessness - pressure on diaphragm Edema - ankles, toes - pressure on vena cava and pelvic vein - restricts blood flow Preclampsia - edema elsewhere - high blood pressure, protein in urine, incidence 4%, restricted blood flow to placenta 1. delivery, preferably by c-section, if pregnancy is equal to or over 37 wks gestations. If pre-eclampsia is suspected, you should check the patient's blood pressure and perform urinalysis (looking for proteinuria). Normal ranges 1 First labours last on average 8 hours and are unlikely to last over 18 hours. Lymphocytes: 20 - 40% or 1,000 to 4,800 cells/mm³. • Dipstick analysis: Tests include pH, specific gravity, protein, glucose, ketones, nitrite, and leukocyte esterase. Sample Delivery Note Date and time: Summary: NSVD of a live male, 3000 gm and Apgars 9/9.Delivered LOA, no nuchal cord, light meconium. When does normal labour start? Gestational age is the number of weeks that have passed since the first day of a woman's last normal menstrual period. Exactly what causes labor to start is unknown. Let us study about prenatal development. Period following childbirth Pelvic organs & other body tissues Revert to pre-pregnant state Anatomically & physiologically 3. Before pregnancy, the uterus weighs 100g, and at term it weighs 1100g. Note that the pocket is free of cord and fetal parts and is at least 1 cm in width. A normal distribution has the following properties. Thus, a full-term pregnancy would be 40 weeks long. the physiological adaptations of normal pregnancy and should therefore be used for pregnant, labouring and postnatal. QBL 500 ml up to this point. 2. Human Anatomy & Physiology: Blood & Hematology; Ziser Lecture Notes, 2005 13 Rh incompatability: mother is Rh - & fetus is Rh + no reaction if normal pregnancy second such pregnancy antibodies cross placenta RhoGAM blocks the mothers immune systems response and prevents her sensitization to Rh+ blood of child. Please read it carefully. Presentation/Notes: Postpartum For example (Exam): Ms. X is a 24 year old Gravida 2 Para 2 who is postpartum day #1 status post vaginal delivery. Lecture 6: Chapter 6: Normal Probability Distributions A normal distribution is a continuous probability distribution for a random variable x. expelled from the uterus. PRENATAL SOAP NOTE Student Name Date of Clinic Visit Patient's Name Preceptor's Name S (SUBJECTIVE) Information related to the physician from the patient directly. OB/GYN: Shelf Review Notes Table of Contents Obstetrics.2 Normal pregnancy / Prenatal care.2 Early MANAGEMENT OF NORMAL LABOUR AND DELIVERY Dr Nabeel Bondagji Consultant Perinatologist KAUH&KFSH LECTURE OVERVIEW Definitions Anatomy of the fetal head and maternal pelvis Management of 1st, 2nd and 3rd stages of normal labour monitoring of maternal well being monitoring of fetal well-being monitoring progress of labour NORMAL LABOUR: Definitions Onset of regular involuntary coordinated . 5- Reference ranges: Normal values ranges for the specific period of pregnancy episode, e.g. The Newborn Infant 173 9. and. Especially in the early stages of pregnancy, a physician can confirm the gestational age of your pregnancy Prenatal outpatient visits for high-risk patients • For routine prenatal outpatient visits for patients with high-risk pregnancies, a code from A multiple pregnancy involves more than one offspring, such as with twins. Maternity Unit Date of birth Address Unit No. And we're here to help keep you and your baby healthy. • Normal creatinine clearance= 100-130 ml/min/1.73m2 Note: What 1.73 m2 means? 1 Chromosomes, Karyotyping, and Abnormalities (Learning Objectives) • Learn the components and parts of a metaphase chromosome. This chapter describes the Pregnancy, also known as gestation, is the time during which one or more offspring develops inside a woman. Pregnancy usually occurs by sexual intercourse, but can also occur through assisted reproductive technology procedures. NORMAL PUERPERIUM 2. Rh neg patients). Pregnancy Your Weight Gain Goal Normal 25-35 lb. On average, labor lasts 12 to 18 hours in a woman's first pregnancy and tends to be shorter, averaging 6 to 8 hours, in subsequent pregnancies. The cardiac output increases, in some cases, up to 50%. Monocytes: 2 - 8% or 0.0 to 800 cells/mm³. 2. 14 weeks of pregnancy but can be used in the assessment of gestational age until 24 weeks; after 24 weeks of pregnancy, the date of the last menstrual period is used Fetal development and anatomy Ultrasound scanning at 18-20 weeks of pregnancy detects structural anomalies Fetal growth restriction Describe common problems in obstetrics. . The pregnancy is diagnosed as viable with serial exams and normal pregnancy development, a normal dating ultrasound, or positive fetal heart tones by Doppler. The menstrual cycle with all its complexities can be easily perturbed by environmental factors such as stress, extreme exercise, eating . Normal menstrual cycles last 28 ± 7 days, being accepted a uctuation of. At the end of the first postpartum week, it normally will have decreased to the size of a 12-week gestation and is palpable at the symphysis pubis (Fig. Normal Puerperium 1. Disposition Quant below 1,500- could be early ectopic vs. early normal pregnancy- OB-GYN followup in 2-3 days for repeat quant and TVUS Quant above 1,500 and evidence of an IUP- if stable and non-concerning abdominal exam, discharge with OB/GYN followup in 2-3 days for repeat quant Palmar erythema: a redness involving the heel of the palm that is a normal finding in pregnancy. Peripheral oedema: may be a normal finding in late pregnancy, but if widespread consider pre-eclampsia. Normality of these events would . •Return to normal size - up to 6 months post-pregnancy. count as pregnancy progresses, with 7.6% of women having a count less than 150,000 and 1% less than 100,000 at term.5 Endogenous anticoagulants, such as protein S, are decreased in normal pregnancy and there is acquired resistance to acti-vated protein C during pregnancy, adding to the prothrombotic state. It is not uncommon - The increase in minute ventilation leads to a normal hyperventilation of pregnancy, which in turns leads to a mild chronic respiratory alkalosis with a compensatory metabolic acidosis. 2. Sarah Kilpatrick and Etoi Garrison. Pregnancy Book Your complete guide to: A healthy pregnancy. Several terms are used to define the developmental stage of human conception and the duration of pregnancy. APGAR Scoring: Appearance, Pulses, Grimace, Activity, Reflex Irritability. The graph of a normal distribution is called the normal curve. Aim for gaining ½ - 1 lb per week after your first trimester. High-Risk Conditions and Complications During Pregnancy 49 4. • Pregnancy AMPLE history Wait 6 months, Beta block, MONAB Risk stratify (patient, family, surgery team) Monitor e'lytes, volume closely Correct coagulopathy; risk stratify Glucose control, anginal equivalents Reverse anticoagulation if tolerated Anticipate and plan Feed enterally Be aware of normal physiologic changes and the effect on . complications of pregnancy affect more than 50,000 women in the United States every year. • Drug abuse. at a postpartum visit and/or an infant check-up. Normal Pregnancy 23 3. be a normal event but the doctor must make sure to check it is a harmless event and to not panic the patient. Nose and mouth bulb suctioned at perineum; body delivered without difficulty. Reproductive Physiology. Labor usually starts within 2 weeks of (before or after) the estimated date of delivery. MID 11 pathogenicity. Z34.93* Encounter for supervision of normal pregnancy, unspecified, third trimester Supervision of Normal Pregnancy (ICD-9-CM V22.0, V22.1, V22.2) *Codes with a greater degree of specificity should be considered first.
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