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OnlineMedEd Shared "OME: Pre- and Post-term Complications of Pregnancy" - 5 Picmonics

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OME: Pre- and Post-term Complications of Pregnancy

Premature Rupture of Membranes (PROM)
Pathophysiology
Rupture > 1 Hour Before Labor
Risk Factors
Infection
PROM History
Incompetent Cervix
Diagnosis
Fern Test
Nitrazine Paper Test
Ultrasound
Treatment
Consider Tocolytics
Consider Antibiotics
< 34 Weeks Gestation
Corticosteroids
> 34 Weeks Gestation
Induction of Labor
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2 mins
Induction of Labor
Indications
Premature Rupture of Membranes
Danger to Fetus or Mother
Prolonged Gestation
Contraindications
Placenta Abnormalities
Transverse Fetal Position
Prolapsed Umbilical Cord
Active Genital Herpes Infection
Transfundal Uterine Incision
Hemorrhage
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3 mins
Magnesium Sulfate
Mechanism
Muscle Relaxant
Indications
Preterm Labor Contractions
Preeclampsia
Side Effects
Warm Feeling
Hypotension
Decreased Deep Tendon Reflexes (DTRS)
Decreased Respiratory Rate
Decreased Urine Output
Paralytic Ileus
Antidote
Calcium Gluconate
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2 mins
Chorioamnionitis
Fever
Maternal or fetal tachycardia
Leukocytosis
Foul Odor to Amniotic Fluid
Treatment: Antibiotics
Monitor uterine tenderness, contractions and fetal activity
Monitor maternal vital signs & FHR
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2 mins
Endometritis
Postpartum
Postpartum Endometritis
Cesarean Birth
Fever
Uterine Tenderness
Acute
Acute Endometritis
Neutrophils
Pelvic Inflammatory Disease (PID)
Chronic
Chronic Endometritis
Plasma Cells
Idiopathic
Treatment
Gentamicin + Clindamycin
Ampicillin-Sulbactam
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3 mins

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