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on 01-Nov-2016 (Tue)

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Flashcard 1411340700940

Question
[...] (EPSPs) are synaptic inputs that depolarize the postsynaptic cell
Answer
Excitatory postsynaptic potentials

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Excitatory postsynaptic potentials (EPSPs) are synaptic inputs that depolarize the postsynaptic cell

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Flashcard 1411342273804

Question
Excitatory postsynaptic potentials (EPSPs) are synaptic inputs that [...] the postsynaptic cell
Answer
depolarize

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Excitatory postsynaptic potentials (EPSPs) are synaptic inputs that depolarize the postsynaptic cell

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Flashcard 1411343846668

Question
Excitatory postsynaptic potentials (EPSPs) are synaptic inputs that depolarize the [...]
Answer
postsynaptic cell

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Excitatory postsynaptic potentials (EPSPs) are synaptic inputs that depolarize the postsynaptic cell

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Flashcard 1411345419532

Question
[...] is produced when there are low circulating levels of ADH (e.g., water drinking, central diabetes insipidus) or when ADH is ineffective (e.g., nephrogenic diabetes insipidus)
Answer
Hyposmotic urine

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Hyposmotic urine is produced when there are low circulating levels of ADH (e.g., water drinking, central diabetes insipidus) or when ADH is ineffective (e.g., nephrogenic diabetes insipidus)

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Flashcard 1411346992396

Question
Hyposmotic urine is produced when there are low circulating levels of [...] (e.g., water drinking, central diabetes insipidus) or when ADH is ineffective (e.g., nephrogenic diabetes insipidus)
Answer
ADH

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Hyposmotic urine is produced when there are low circulating levels of ADH (e.g., water drinking, central diabetes insipidus) or when ADH is ineffective (e.g., nephrogenic diabetes insipidus)

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Flashcard 1411348565260

Question
Hyposmotic urine is produced when there are low circulating levels of ADH (e.g., water drinking, central diabetes insipidus) or when ADH is [...] (e.g., nephrogenic diabetes insipidus)
Answer
ineffective

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Hyposmotic urine is produced when there are low circulating levels of ADH (e.g., water drinking, central diabetes insipidus) or when ADH is ineffective (e.g., nephrogenic diabetes insipidus)

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Flashcard 1411350138124

Question
[default - edit me]
Answer
low circulating levels of ADH (e.g., water drinking, central diabetes insipidus) or when ADH is ineffective (e.g., nephrogenic diabetes insipidus

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Hyposmotic urine is produced when there are low circulating levels of ADH (e.g., water drinking, central diabetes insipidus) or when ADH is ineffective (e.g., nephrogenic diabetes insipidus)

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#obgyn
Oxytocin is used to improve inadequate contractions when dystocia is diagnosed or to initiate contractions when labour induction is required
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Flashcard 1411352759564

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Question
Oxytocin is used to [...] when dystocia is diagnosed or to initiate contractions when labour induction is required
Answer
improve inadequate contractions

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Oxytocin is used to improve inadequate contractions when dystocia is diagnosed or to initiate contractions when labour induction is required







Flashcard 1411354332428

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Question
Oxytocin is used to improve inadequate contractions when [...] or to initiate contractions when labour induction is required
Answer
dystocia is diagnosed

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Oxytocin is used to improve inadequate contractions when dystocia is diagnosed or to initiate contractions when labour induction is required







Flashcard 1411355905292

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#obgyn
Question
Oxytocin is used to improve inadequate contractions when dystocia is diagnosed or to [...] when labour induction is required
Answer
initiate contractions

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Oxytocin is used to improve inadequate contractions when dystocia is diagnosed or to initiate contractions when labour induction is required







Flashcard 1411357478156

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#obgyn
Question
Oxytocin is used to improve inadequate contractions when dystocia is diagnosed or to initiate contractions when [...]
Answer
labour induction is required

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Oxytocin is used to improve inadequate contractions when dystocia is diagnosed or to initiate contractions when labour induction is required







#obgyn
Contra-indications to oxytocin administration in pregnancy:
• Severe vaginal bleeding
• Placenta previa
• Hypotension
• Abnormal lie (transverse, footling breech)
• Prior classical or inverted-T uterine incision
• Pelvic structural deformities which would lead to obstructed labour
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Flashcard 1411360361740

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Question
Contra-indications to oxytocin administration in pregnancy:
[...]
• Placenta previa
• Hypotension
• Abnormal lie (transverse, footling breech)
• Prior classical or inverted-T uterine incision
• Pelvic structural deformities which would lead to obstructed labour
Answer
Severe vaginal bleeding

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Contra-indications to oxytocin administration in pregnancy: • Severe vaginal bleeding • Placenta previa • Hypotension • Abnormal lie (transverse, footling breech) • Prior classical or inverted-T uterine incision • Pelvic structural deformities wh







Flashcard 1411361934604

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#obgyn
Question
Contra-indications to oxytocin administration in pregnancy:
• Severe vaginal bleeding
[...]
• Hypotension
• Abnormal lie (transverse, footling breech)
• Prior classical or inverted-T uterine incision
• Pelvic structural deformities which would lead to obstructed labour
Answer
Placenta previa

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Contra-indications to oxytocin administration in pregnancy: • Severe vaginal bleeding • Placenta previa • Hypotension • Abnormal lie (transverse, footling breech) • Prior classical or inverted-T uterine incision • Pelvic structural deformities which would lead to obstr







Flashcard 1411363507468

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#obgyn
Question
Contra-indications to oxytocin administration in pregnancy:
• Severe vaginal bleeding
• Placenta previa
[...]
• Abnormal lie (transverse, footling breech)
• Prior classical or inverted-T uterine incision
• Pelvic structural deformities which would lead to obstructed labour
Answer
Hypotension

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Contra-indications to oxytocin administration in pregnancy: • Severe vaginal bleeding • Placenta previa • Hypotension • Abnormal lie (transverse, footling breech) • Prior classical or inverted-T uterine incision • Pelvic structural deformities which would lead to obstructed labour







Flashcard 1411365080332

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#obgyn
Question
Contra-indications to oxytocin administration in pregnancy:
• Severe vaginal bleeding
• Placenta previa
• Hypotension
[...]
• Prior classical or inverted-T uterine incision
• Pelvic structural deformities which would lead to obstructed labour
Answer
Abnormal lie (transverse, footling breech)

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Contra-indications to oxytocin administration in pregnancy: • Severe vaginal bleeding • Placenta previa • Hypotension • Abnormal lie (transverse, footling breech) • Prior classical or inverted-T uterine incision • Pelvic structural deformities which would lead to obstructed labour







Flashcard 1411366653196

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#obgyn
Question
Contra-indications to oxytocin administration in pregnancy:
• Severe vaginal bleeding
• Placenta previa
• Hypotension
• Abnormal lie (transverse, footling breech)
[...]
• Pelvic structural deformities which would lead to obstructed labour
Answer
Prior classical or inverted-T uterine incision

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Contra-indications to oxytocin administration in pregnancy: • Severe vaginal bleeding • Placenta previa • Hypotension • Abnormal lie (transverse, footling breech) • Prior classical or inverted-T uterine incision • Pelvic structural deformities which would lead to obstructed labour







Flashcard 1411368226060

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#obgyn
Question
Contra-indications to oxytocin administration in pregnancy:
• Severe vaginal bleeding
• Placenta previa
• Hypotension
• Abnormal lie (transverse, footling breech)
• Prior classical or inverted-T uterine incision
[...]
Answer
Pelvic structural deformities which would lead to obstructed labour

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ontra-indications to oxytocin administration in pregnancy: • Severe vaginal bleeding • Placenta previa • Hypotension • Abnormal lie (transverse, footling breech) • Prior classical or inverted-T uterine incision • <span>Pelvic structural deformities which would lead to obstructed labour<span><body><html>







#obgyn
Adverse Effects of oxytocin administration in pregnancy:
• Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min)
• Uterine rupture (hyperstimulation)
• Water intoxication (ADH effect)
• Hypotension (Vasodilatation)
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Flashcard 1411371896076

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Question
Adverse Effects of oxytocin administration in pregnancy:
[...] (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min)
• Uterine rupture (hyperstimulation)
• Water intoxication (ADH effect)
• Hypotension (Vasodilatation)
Answer
Fetal compromise

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Adverse Effects of oxytocin administration in pregnancy: • Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min) • Uterine rupture (hyperstimulation) • Water intoxication (ADH effect) • Hypoten







Flashcard 1411373468940

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#obgyn
Question
Adverse Effects of oxytocin administration in pregnancy:
• Fetal compromise (from [...] = contraction >2 min long or >5 contractions/10 min)
• Uterine rupture (hyperstimulation)
• Water intoxication (ADH effect)
• Hypotension (Vasodilatation)
Answer
uterine hyperstimulation

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Adverse Effects of oxytocin administration in pregnancy: • Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min) • Uterine rupture (hyperstimulation) • Water intoxication (ADH effect) • Hypotension (Vasodilatation)</s







Flashcard 1411375041804

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#obgyn
Question
Adverse Effects of oxytocin administration in pregnancy:
• Fetal compromise (from uterine hyperstimulation = [...])
• Uterine rupture (hyperstimulation)
• Water intoxication (ADH effect)
• Hypotension (Vasodilatation)
Answer
contraction >2 min long or >5 contractions/10 min

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Adverse Effects of oxytocin administration in pregnancy: • Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min) • Uterine rupture (hyperstimulation) • Water intoxication (ADH effect) • Hypotension (Vasodilatation)







Flashcard 1411376614668

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#obgyn
Question
Adverse Effects of oxytocin administration in pregnancy:
• Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min)
[...]
• Water intoxication (ADH effect)
• Hypotension (Vasodilatation)
Answer
Uterine rupture (hyperstimulation)

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Adverse Effects of oxytocin administration in pregnancy: • Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min) • Uterine rupture (hyperstimulation) • Water intoxication (ADH effect) • Hypotension (Vasodilatation)







Flashcard 1411378187532

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#obgyn
Question
Adverse Effects of oxytocin administration in pregnancy:
• Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min)
• Uterine rupture (hyperstimulation)
[...]
• Hypotension (Vasodilatation)
Answer
Water intoxication (ADH effect)

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head>Adverse Effects of oxytocin administration in pregnancy: • Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min) • Uterine rupture (hyperstimulation) • Water intoxication (ADH effect) • Hypotension (Vasodilatation)<html>







Flashcard 1411379760396

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#obgyn
Question
Adverse Effects of oxytocin administration in pregnancy:
• Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min)
• Uterine rupture (hyperstimulation)
• Water intoxication (ADH effect)
[...]
Answer
Hypotension (Vasodilatation)

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of oxytocin administration in pregnancy: • Fetal compromise (from uterine hyperstimulation = contraction >2 min long or >5 contractions/10 min) • Uterine rupture (hyperstimulation) • Water intoxication (ADH effect) • <span>Hypotension (Vasodilatation)<span><body><html>







#obgyn
For augmentation of labour using oxytocin (different protocols may be used – this is one example):
• Initial dose: 1 – 2 mU/min
• Increase Interval: every 30 min
• Dosage Increment: 1 – 2 mU
• Usual Dose for Good Labour: 8 – 12 mU/min but may vary
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Flashcard 1411382643980

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Question
For augmentation of labour using oxytocin (different protocols may be used – this is one example):
• Initial dose: [...] mU/min
• Increase Interval: every 30 min
• Dosage Increment: 1 – 2 mU
• Usual Dose for Good Labour: 8 – 12 mU/min but may vary
Answer
1 – 2

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For augmentation of labour using oxytocin (different protocols may be used – this is one example): • Initial dose: 1 – 2 mU/min • Increase Interval: every 30 min • Dosage Increment: 1 – 2 mU • Usual Dose for Good Labour: 8 – 12 mU/min but may vary







Flashcard 1411384741132

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#obgyn
Question
For augmentation of labour using oxytocin (different protocols may be used – this is one example):
• Initial dose: 1 – 2 mU/min
• Increase Interval: every [...] min
• Dosage Increment: 1 – 2 mU
• Usual Dose for Good Labour: 8 – 12 mU/min but may vary
Answer
30

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For augmentation of labour using oxytocin (different protocols may be used – this is one example): • Initial dose: 1 – 2 mU/min • Increase Interval: every 30 min • Dosage Increment: 1 – 2 mU • Usual Dose for Good Labour: 8 – 12 mU/min but may vary







Flashcard 1411386313996

Tags
#obgyn
Question
For augmentation of labour using oxytocin (different protocols may be used – this is one example):
• Initial dose: 1 – 2 mU/min
• Increase Interval: every 30 min
• Dosage Increment: [...] mU
• Usual Dose for Good Labour: 8 – 12 mU/min but may vary
Answer
1 – 2

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For augmentation of labour using oxytocin (different protocols may be used – this is one example): • Initial dose: 1 – 2 mU/min • Increase Interval: every 30 min • Dosage Increment: 1 – 2 mU • Usual Dose for Good Labour: 8 – 12 mU/min but may vary







Flashcard 1411387886860

Tags
#obgyn
Question
For augmentation of labour using oxytocin (different protocols may be used – this is one example):
• Initial dose: 1 – 2 mU/min
• Increase Interval: every 30 min
• Dosage Increment: 1 – 2 mU
• Usual Dose for Good Labour: [...] mU/min but may vary
Answer
8 – 12

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n>For augmentation of labour using oxytocin (different protocols may be used – this is one example): • Initial dose: 1 – 2 mU/min • Increase Interval: every 30 min • Dosage Increment: 1 – 2 mU • Usual Dose for Good Labour: <span>8 – 12 mU/min but may vary<span><body><html>







Flashcard 1411389459724

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#obgyn
Question
assisted vaginal birth = ?
Answer
forceps or vacuum extractor

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Flashcard 1411391294732

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Question
fetal indication for assisted vag birth
Answer
Evidence of fetal compromise requiring immediate delivery

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#obgyn
maternal indications for assisted vag birth:
• Failure to deliver spontaneously in the second stage
• Conditions which require a shortened second stage
• Conditions which contraindicate pushing
• Inefficient maternal effort
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Flashcard 1411394440460

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#obgyn
Question
maternal indications for assisted vag birth:
• Failure to [...]
• Conditions which require a shortened second stage
• Conditions which contraindicate pushing
• Inefficient maternal effort
Answer
deliver spontaneously in the second stage

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maternal indications for assisted vag birth: • Failure to deliver spontaneously in the second stage • Conditions which require a shortened second stage • Conditions which contraindicate pushing • Inefficient maternal effort







Flashcard 1411396013324

Tags
#obgyn
Question
maternal indications for assisted vag birth:
• Failure to deliver spontaneously in the second stage
• Conditions which require [...]
• Conditions which contraindicate pushing
• Inefficient maternal effort
Answer
a shortened second stage

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maternal indications for assisted vag birth: • Failure to deliver spontaneously in the second stage • Conditions which require a shortened second stage • Conditions which contraindicate pushing • Inefficient maternal effort







Flashcard 1411397586188

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#obgyn
Question
maternal indications for assisted vag birth:
• Failure to deliver spontaneously in the second stage
• Conditions which require a shortened second stage
• Conditions which [...]
• Inefficient maternal effort
Answer
contraindicate pushing

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maternal indications for assisted vag birth: • Failure to deliver spontaneously in the second stage • Conditions which require a shortened second stage • Conditions which contraindicate pushing • Inefficient maternal effort







Flashcard 1411399159052

Tags
#obgyn
Question
maternal indications for assisted vag birth:
• Failure to deliver spontaneously in the second stage
• Conditions which require a shortened second stage
• Conditions which contraindicate pushing
[...]
Answer
Inefficient maternal effort

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d><head>maternal indications for assisted vag birth: • Failure to deliver spontaneously in the second stage • Conditions which require a shortened second stage • Conditions which contraindicate pushing • Inefficient maternal effort <html>







#obgyn
Contra-indications for operative delivery (forceps or vacuum):
• Non-cephalic presentation, face or brow
• Unengaged head
• Incompletely dilated cervix
• Low probability of success
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Flashcard 1411402042636

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Question
Contra-indications for operative delivery (forceps or vacuum):
[...]
• Unengaged head
• Incompletely dilated cervix
• Low probability of success
Answer
Non-cephalic presentation, face or brow

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Contra-indications for operative delivery (forceps or vacuum): • Non-cephalic presentation, face or brow • Unengaged head • Incompletely dilated cervix • Low probability of success







Flashcard 1411403615500

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#obgyn
Question
Contra-indications for operative delivery (forceps or vacuum):
• Non-cephalic presentation, face or brow
[...]
• Incompletely dilated cervix
• Low probability of success
Answer
Unengaged head

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Contra-indications for operative delivery (forceps or vacuum): • Non-cephalic presentation, face or brow • Unengaged head • Incompletely dilated cervix • Low probability of success







Flashcard 1411405188364

Tags
#obgyn
Question
Contra-indications for operative delivery (forceps or vacuum):
• Non-cephalic presentation, face or brow
• Unengaged head
[...]
• Low probability of success
Answer
Incompletely dilated cervix

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Contra-indications for operative delivery (forceps or vacuum): • Non-cephalic presentation, face or brow • Unengaged head • Incompletely dilated cervix • Low probability of success







Flashcard 1411406761228

Tags
#obgyn
Question
Contra-indications for operative delivery (forceps or vacuum):
• Non-cephalic presentation, face or brow
• Unengaged head
• Incompletely dilated cervix
[...]
Answer
Low probability of success

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Contra-indications for operative delivery (forceps or vacuum): • Non-cephalic presentation, face or brow • Unengaged head • Incompletely dilated cervix • Low probability of success







#obgyn
Contra-indications Specific to Vacuum:
• <34 weeks’ gestation
• Deflexed attitude of fetal head
• Need for rotation
• Fetal conditions (bleeding disorder, demineralization disorder)
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Flashcard 1411411217676

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Question
Contra-indications Specific to Vacuum:
[...] weeks’ gestation
• Deflexed attitude of fetal head
• Need for rotation
• Fetal conditions (bleeding disorder, demineralization disorder)
Answer
<34

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Contra-indications Specific to Vacuum: • <34 weeks’ gestation • Deflexed attitude of fetal head • Need for rotation • Fetal conditions (bleeding disorder, demineralization disorder)







Flashcard 1411412790540

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#obgyn
Question
Contra-indications Specific to Vacuum:
• <34 weeks’ gestation
[...]
• Need for rotation
• Fetal conditions (bleeding disorder, demineralization disorder)
Answer
Deflexed attitude of fetal head

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Contra-indications Specific to Vacuum: • <34 weeks’ gestation • Deflexed attitude of fetal head • Need for rotation • Fetal conditions (bleeding disorder, demineralization disorder)







Flashcard 1411414363404

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Question
Contra-indications Specific to Vacuum:
• <34 weeks’ gestation
• Deflexed attitude of fetal head
• Need for [...]
• Fetal conditions (bleeding disorder, demineralization disorder)
Answer
rotation

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Contra-indications Specific to Vacuum: • <34 weeks’ gestation • Deflexed attitude of fetal head • Need for rotation • Fetal conditions (bleeding disorder, demineralization disorder)







Flashcard 1411415936268

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Question
Contra-indications Specific to Vacuum:
• <34 weeks’ gestation
• Deflexed attitude of fetal head
• Need for rotation
[...]
Answer
Fetal conditions (bleeding disorder, demineralization disorder)

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Contra-indications Specific to Vacuum: • <34 weeks’ gestation • Deflexed attitude of fetal head • Need for rotation • Fetal conditions (bleeding disorder, demineralization disorder)







#obgyn
Prerequisites for application of vacuum extractor or forceps:
• Vertex presentation
• Vertex engaged
• Term or near term fetus
• Cervix fully dilated
• Membranes ruptured
• Adequate anesthesia
• Adequate maternal pelvis by clinical assessment
• Maternal bladder empty
• Backup plan (if forceps or vacuum not successful may need CS)
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Flashcard 1411418819852

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Question
Prerequisites for application of vacuum extractor or forceps:
[...] presentation
• Vertex engaged
• Term or near term fetus
• Cervix fully dilated
• Membranes ruptured
• Adequate anesthesia
• Adequate maternal pelvis by clinical assessment
• Maternal bladder empty
• Backup plan (if forceps or vacuum not successful may need CS)
Answer
Vertex

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Prerequisites for application of vacuum extractor or forceps: • Vertex presentation • Vertex engaged • Term or near term fetus • Cervix fully dilated • Membranes ruptured • Adequate anesthesia • Adequate maternal pelvis by cli







Flashcard 1411420392716

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Question
Prerequisites for application of vacuum extractor or forceps:
• Vertex presentation
[...] engaged
• Term or near term fetus
• Cervix fully dilated
• Membranes ruptured
• Adequate anesthesia
• Adequate maternal pelvis by clinical assessment
• Maternal bladder empty
• Backup plan (if forceps or vacuum not successful may need CS)
Answer
Vertex

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Prerequisites for application of vacuum extractor or forceps: • Vertex presentation • Vertex engaged • Term or near term fetus • Cervix fully dilated • Membranes ruptured • Adequate anesthesia • Adequate maternal pelvis by clinical assessment • Mat







Flashcard 1411421965580

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Question
Prerequisites for application of vacuum extractor or forceps:
• Vertex presentation
• Vertex engaged
[...]
• Cervix fully dilated
• Membranes ruptured
• Adequate anesthesia
• Adequate maternal pelvis by clinical assessment
• Maternal bladder empty
• Backup plan (if forceps or vacuum not successful may need CS)
Answer
Term or near term fetus

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Prerequisites for application of vacuum extractor or forceps: • Vertex presentation • Vertex engaged • Term or near term fetus • Cervix fully dilated • Membranes ruptured • Adequate anesthesia • Adequate maternal pelvis by clinical assessment • Maternal bladder empty • Backup plan







Flashcard 1411423538444

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Question
Prerequisites for application of vacuum extractor or forceps:
• Vertex presentation
• Vertex engaged
• Term or near term fetus
[...]
• Membranes ruptured
• Adequate anesthesia
• Adequate maternal pelvis by clinical assessment
• Maternal bladder empty
• Backup plan (if forceps or vacuum not successful may need CS)
Answer
Cervix fully dilated

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Prerequisites for application of vacuum extractor or forceps: • Vertex presentation • Vertex engaged • Term or near term fetus • Cervix fully dilated • Membranes ruptured • Adequate anesthesia • Adequate maternal pelvis by clinical assessment • Maternal bladder empty • Backup plan (if forceps or vacuum not su







Flashcard 1411425111308

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Question
Prerequisites for application of vacuum extractor or forceps:
• Vertex presentation
• Vertex engaged
• Term or near term fetus
• Cervix fully dilated
[...]
• Adequate anesthesia
• Adequate maternal pelvis by clinical assessment
• Maternal bladder empty
• Backup plan (if forceps or vacuum not successful may need CS)
Answer
Membranes ruptured

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Prerequisites for application of vacuum extractor or forceps: • Vertex presentation • Vertex engaged • Term or near term fetus • Cervix fully dilated • Membranes ruptured • Adequate anesthesia • Adequate maternal pelvis by clinical assessment • Maternal bladder empty • Backup plan (if forceps or vacuum not successful may need CS)</spa







Flashcard 1411426684172

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Question
Prerequisites for application of vacuum extractor or forceps:
• Vertex presentation
• Vertex engaged
• Term or near term fetus
• Cervix fully dilated
• Membranes ruptured
• Adequate [...]
• Adequate maternal pelvis by clinical assessment
• Maternal bladder empty
• Backup plan (if forceps or vacuum not successful may need CS)
Answer
anesthesia

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Prerequisites for application of vacuum extractor or forceps: • Vertex presentation • Vertex engaged • Term or near term fetus • Cervix fully dilated • Membranes ruptured • Adequate anesthesia • Adequate maternal pelvis by clinical assessment • Maternal bladder empty • Backup plan (if forceps or vacuum not successful may need CS)<html>







Flashcard 1411428257036

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Question
Prerequisites for application of vacuum extractor or forceps:
• Vertex presentation
• Vertex engaged
• Term or near term fetus
• Cervix fully dilated
• Membranes ruptured
• Adequate anesthesia
• Adequate [...]
• Maternal bladder empty
• Backup plan (if forceps or vacuum not successful may need CS)
Answer
maternal pelvis by clinical assessment

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
pan>Prerequisites for application of vacuum extractor or forceps: • Vertex presentation • Vertex engaged • Term or near term fetus • Cervix fully dilated • Membranes ruptured • Adequate anesthesia • Adequate <span>maternal pelvis by clinical assessment • Maternal bladder empty • Backup plan (if forceps or vacuum not successful may need CS)<span><body><html>







Flashcard 1411429829900

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Question
Prerequisites for application of vacuum extractor or forceps:
• Vertex presentation
• Vertex engaged
• Term or near term fetus
• Cervix fully dilated
• Membranes ruptured
• Adequate anesthesia
• Adequate maternal pelvis by clinical assessment
[...]
• Backup plan (if forceps or vacuum not successful may need CS)
Answer
Maternal bladder empty

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
tractor or forceps: • Vertex presentation • Vertex engaged • Term or near term fetus • Cervix fully dilated • Membranes ruptured • Adequate anesthesia • Adequate maternal pelvis by clinical assessment • <span>Maternal bladder empty • Backup plan (if forceps or vacuum not successful may need CS)<span><body><html>







Flashcard 1411431402764

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Question
Prerequisites for application of vacuum extractor or forceps:
• Vertex presentation
• Vertex engaged
• Term or near term fetus
• Cervix fully dilated
• Membranes ruptured
• Adequate anesthesia
• Adequate maternal pelvis by clinical assessment
• Maternal bladder empty
[...]
Answer
Backup plan (if forceps or vacuum not successful may need CS)

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
tex presentation • Vertex engaged • Term or near term fetus • Cervix fully dilated • Membranes ruptured • Adequate anesthesia • Adequate maternal pelvis by clinical assessment • Maternal bladder empty • <span>Backup plan (if forceps or vacuum not successful may need CS)<span><body><html>







#obgyn
Risks of Assisted Vaginal Birth:
• Maternal soft tissue trauma
• Fetal scalp trauma (hemorrhage, laceration)
• Increased risk of intra-ventricular hemorrhage with multiple procedures
• Fetal subgaleal or subaponeurotic hemorrhage with vacuum
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Flashcard 1411434286348

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Question
Risks of Assisted Vaginal Birth:
[...]
• Fetal scalp trauma (hemorrhage, laceration)
• Increased risk of intra-ventricular hemorrhage with multiple procedures
• Fetal subgaleal or subaponeurotic hemorrhage with vacuum
Answer
Maternal soft tissue trauma

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Risks of Assisted Vaginal Birth: • Maternal soft tissue trauma • Fetal scalp trauma (hemorrhage, laceration) • Increased risk of intra-ventricular hemorrhage with multiple procedures • Fetal subgaleal or subaponeurotic hemorrhage wit







Flashcard 1411435859212

Tags
#obgyn
Question
Risks of Assisted Vaginal Birth:
• Maternal soft tissue trauma
[...]
• Increased risk of intra-ventricular hemorrhage with multiple procedures
• Fetal subgaleal or subaponeurotic hemorrhage with vacuum
Answer
Fetal scalp trauma (hemorrhage, laceration)

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Risks of Assisted Vaginal Birth: • Maternal soft tissue trauma • Fetal scalp trauma (hemorrhage, laceration) • Increased risk of intra-ventricular hemorrhage with multiple procedures • Fetal subgaleal or subaponeurotic hemorrhage with vacuum







Flashcard 1411437432076

Tags
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Question
Risks of Assisted Vaginal Birth:
• Maternal soft tissue trauma
• Fetal scalp trauma (hemorrhage, laceration)
• Increased risk of [...]
• Fetal subgaleal or subaponeurotic hemorrhage with vacuum
Answer
intra-ventricular hemorrhage with multiple procedures

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Risks of Assisted Vaginal Birth: • Maternal soft tissue trauma • Fetal scalp trauma (hemorrhage, laceration) • Increased risk of intra-ventricular hemorrhage with multiple procedures • Fetal subgaleal or subaponeurotic hemorrhage with vacuum







Flashcard 1411439004940

Tags
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Question
Risks of Assisted Vaginal Birth:
• Maternal soft tissue trauma
• Fetal scalp trauma (hemorrhage, laceration)
• Increased risk of intra-ventricular hemorrhage with multiple procedures
[...] with vacuum
Answer
Fetal subgaleal or subaponeurotic hemorrhage

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Risks of Assisted Vaginal Birth: • Maternal soft tissue trauma • Fetal scalp trauma (hemorrhage, laceration) • Increased risk of intra-ventricular hemorrhage with multiple procedures • Fetal subgaleal or subaponeurotic hemorrhage with vacuum







#obgyn
Most Common Indications for C/S:
• Repeat C-Section
• Dystocia
• Breech presentation and other malpresentations
• Non-reassuring fetal status
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Flashcard 1411441888524

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Question
Most Common Indications for C/S:
[...]
• Dystocia
• Breech presentation and other malpresentations
• Non-reassuring fetal status
Answer
Repeat C-Section

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Most Common Indications for C/S: • Repeat C-Section • Dystocia • Breech presentation and other malpresentations • Non-reassuring fetal status







Flashcard 1411443461388

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Question
Most Common Indications for C/S:
• Repeat C-Section
[...]
• Breech presentation and other malpresentations
• Non-reassuring fetal status
Answer
Dystocia

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Most Common Indications for C/S: • Repeat C-Section • Dystocia • Breech presentation and other malpresentations • Non-reassuring fetal status







Flashcard 1411445034252

Tags
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Question
Most Common Indications for C/S:
• Repeat C-Section
• Dystocia
[...]
• Non-reassuring fetal status
Answer
Breech presentation and other malpresentations

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Most Common Indications for C/S: • Repeat C-Section • Dystocia • Breech presentation and other malpresentations • Non-reassuring fetal status







Flashcard 1411446607116

Tags
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Question
Most Common Indications for C/S:
• Repeat C-Section
• Dystocia
• Breech presentation and other malpresentations
[...]
Answer
Non-reassuring fetal status

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Most Common Indications for C/S: • Repeat C-Section • Dystocia • Breech presentation and other malpresentations • Non-reassuring fetal status







#obgyn
Absolute Indications for C/S:
• Placenta Previa
• Cord Prolapse
• Previous Uterine Surgery
• Previous Classical CS
• Previous Uterine Rupture
• Malpresentation (breech, transverse, brow)
• Obstructed pelvis (mass, contracted)
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Flashcard 1411449490700

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Question
Absolute Indications for C/S:
[...]
• Cord Prolapse
• Previous Uterine Surgery
• Previous Classical CS
• Previous Uterine Rupture
• Malpresentation (breech, transverse, brow)
• Obstructed pelvis (mass, contracted)
Answer
Placenta Previa

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Absolute Indications for C/S: • Placenta Previa • Cord Prolapse • Previous Uterine Surgery • Previous Classical CS • Previous Uterine Rupture • Malpresentation (breech, transverse, brow) • Obstructed pel







Flashcard 1411451063564

Tags
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Question
Absolute Indications for C/S:
• Placenta Previa
[...]
• Previous Uterine Surgery
• Previous Classical CS
• Previous Uterine Rupture
• Malpresentation (breech, transverse, brow)
• Obstructed pelvis (mass, contracted)
Answer
Cord Prolapse

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Absolute Indications for C/S: • Placenta Previa • Cord Prolapse • Previous Uterine Surgery • Previous Classical CS • Previous Uterine Rupture • Malpresentation (breech, transverse, brow) • Obstructed pelvis (mass, contracted







Flashcard 1411452636428

Tags
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Question
Absolute Indications for C/S:
• Placenta Previa
• Cord Prolapse
[...]
• Previous Classical CS
• Previous Uterine Rupture
• Malpresentation (breech, transverse, brow)
• Obstructed pelvis (mass, contracted)
Answer
Previous Uterine Surgery

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Absolute Indications for C/S: • Placenta Previa • Cord Prolapse • Previous Uterine Surgery • Previous Classical CS • Previous Uterine Rupture • Malpresentation (breech, transverse, brow) • Obstructed pelvis (mass, contracted)







Flashcard 1411454209292

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Question
Absolute Indications for C/S:
• Placenta Previa
• Cord Prolapse
• Previous Uterine Surgery
[...]
• Previous Uterine Rupture
• Malpresentation (breech, transverse, brow)
• Obstructed pelvis (mass, contracted)
Answer
Previous Classical CS

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Absolute Indications for C/S: • Placenta Previa • Cord Prolapse • Previous Uterine Surgery • Previous Classical CS • Previous Uterine Rupture • Malpresentation (breech, transverse, brow) • Obstructed pelvis (mass, contracted)







Flashcard 1411455782156

Tags
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Question
Absolute Indications for C/S:
• Placenta Previa
• Cord Prolapse
• Previous Uterine Surgery
• Previous Classical CS
[...]
• Malpresentation (breech, transverse, brow)
• Obstructed pelvis (mass, contracted)
Answer
Previous Uterine Rupture

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Absolute Indications for C/S: • Placenta Previa • Cord Prolapse • Previous Uterine Surgery • Previous Classical CS • Previous Uterine Rupture • Malpresentation (breech, transverse, brow) • Obstructed pelvis (mass, contracted)







Flashcard 1411457355020

Tags
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Question
Absolute Indications for C/S:
• Placenta Previa
• Cord Prolapse
• Previous Uterine Surgery
• Previous Classical CS
• Previous Uterine Rupture
[...]
• Obstructed pelvis (mass, contracted)
Answer
Malpresentation (breech, transverse, brow)

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Absolute Indications for C/S: • Placenta Previa • Cord Prolapse • Previous Uterine Surgery • Previous Classical CS • Previous Uterine Rupture • Malpresentation (breech, transverse, brow) • Obstructed pelvis (mass, contracted)







Flashcard 1411458927884

Tags
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Question
Absolute Indications for C/S:
• Placenta Previa
• Cord Prolapse
• Previous Uterine Surgery
• Previous Classical CS
• Previous Uterine Rupture
• Malpresentation (breech, transverse, brow)
[...]
Answer
Obstructed pelvis (mass, contracted)

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
>Absolute Indications for C/S: • Placenta Previa • Cord Prolapse • Previous Uterine Surgery • Previous Classical CS • Previous Uterine Rupture • Malpresentation (breech, transverse, brow) • Obstructed pelvis (mass, contracted)<html>







#obgyn
Relative Indications to C/S:
• Failed Induction
• Abnormal progression in labour
• Pre-eclampsia/eclampsia
• Diabetes
• Cardiac disease
• Placental abruption
• Multiple Pregnancy
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Flashcard 1411461811468

Tags
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Question
Relative Indications to C/S:
[...]
• Abnormal progression in labour
• Pre-eclampsia/eclampsia
• Diabetes
• Cardiac disease
• Placental abruption
• Multiple Pregnancy
Answer
Failed Induction

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Relative Indications to C/S: • Failed Induction • Abnormal progression in labour • Pre-eclampsia/eclampsia • Diabetes • Cardiac disease • Placental abruption • Multiple Pregnancy</ht







Flashcard 1411463384332

Tags
#obgyn
Question
Relative Indications to C/S:
• Failed Induction
[...]
• Pre-eclampsia/eclampsia
• Diabetes
• Cardiac disease
• Placental abruption
• Multiple Pregnancy
Answer
Abnormal progression in labour

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Relative Indications to C/S: • Failed Induction • Abnormal progression in labour • Pre-eclampsia/eclampsia • Diabetes • Cardiac disease • Placental abruption • Multiple Pregnancy







Flashcard 1411464957196

Tags
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Question
Relative Indications to C/S:
• Failed Induction
• Abnormal progression in labour
[...]
• Diabetes
• Cardiac disease
• Placental abruption
• Multiple Pregnancy
Answer
Pre-eclampsia/eclampsia

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Relative Indications to C/S: • Failed Induction • Abnormal progression in labour • Pre-eclampsia/eclampsia • Diabetes • Cardiac disease • Placental abruption • Multiple Pregnancy







Flashcard 1411466530060

Tags
#obgyn
Question
Relative Indications to C/S:
• Failed Induction
• Abnormal progression in labour
• Pre-eclampsia/eclampsia
[...]
• Cardiac disease
• Placental abruption
• Multiple Pregnancy
Answer
Diabetes

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Relative Indications to C/S: • Failed Induction • Abnormal progression in labour • Pre-eclampsia/eclampsia • Diabetes • Cardiac disease • Placental abruption • Multiple Pregnancy







Flashcard 1411468102924

Tags
#obgyn
Question
Relative Indications to C/S:
• Failed Induction
• Abnormal progression in labour
• Pre-eclampsia/eclampsia
• Diabetes
[...]
• Placental abruption
• Multiple Pregnancy
Answer
Cardiac disease

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Relative Indications to C/S: • Failed Induction • Abnormal progression in labour • Pre-eclampsia/eclampsia • Diabetes • Cardiac disease • Placental abruption • Multiple Pregnancy







Flashcard 1411469675788

Tags
#obgyn
Question
Relative Indications to C/S:
• Failed Induction
• Abnormal progression in labour
• Pre-eclampsia/eclampsia
• Diabetes
• Cardiac disease
[...]
• Multiple Pregnancy
Answer
Placental abruption

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Relative Indications to C/S: • Failed Induction • Abnormal progression in labour • Pre-eclampsia/eclampsia • Diabetes • Cardiac disease • Placental abruption • Multiple Pregnancy







Flashcard 1411471248652

Tags
#obgyn
Question
Relative Indications to C/S:
• Failed Induction
• Abnormal progression in labour
• Pre-eclampsia/eclampsia
• Diabetes
• Cardiac disease
• Placental abruption
[...]
Answer
Multiple Pregnancy

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Relative Indications to C/S: • Failed Induction • Abnormal progression in labour • Pre-eclampsia/eclampsia • Diabetes • Cardiac disease • Placental abruption • Multiple Pregnancy







#obgyn
Risks of CS
• Infection (wound, uterine, sepsis, urinary)
• Hemorrhage
• Atelectasis
• Injury to bowel or bladder or ueter
• Deep venous thrombosis
• Pulmonary embolus
• Longer recovery time
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Flashcard 1411474132236

Tags
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Question
Risks of CS
[...]
• Hemorrhage
• Atelectasis
• Injury to bowel or bladder or ueter
• Deep venous thrombosis
• Pulmonary embolus
• Longer recovery time
Answer
Infection (wound, uterine, sepsis, urinary)

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Open it
Risks of CS • Infection (wound, uterine, sepsis, urinary) • Hemorrhage • Atelectasis • Injury to bowel or bladder or ueter • Deep venous thrombosis • Pulmonary embolus • Longer recovery time</







Flashcard 1411475705100

Tags
#obgyn
Question
Risks of CS
• Infection (wound, uterine, sepsis, urinary)
[...]
• Atelectasis
• Injury to bowel or bladder or ueter
• Deep venous thrombosis
• Pulmonary embolus
• Longer recovery time
Answer
Hemorrhage

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Risks of CS • Infection (wound, uterine, sepsis, urinary) • Hemorrhage • Atelectasis • Injury to bowel or bladder or ueter • Deep venous thrombosis • Pulmonary embolus • Longer recovery time







Flashcard 1411477277964

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Question
Risks of CS
• Infection (wound, uterine, sepsis, urinary)
• Hemorrhage
[...]
• Injury to bowel or bladder or ueter
• Deep venous thrombosis
• Pulmonary embolus
• Longer recovery time
Answer
Atelectasis

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Risks of CS • Infection (wound, uterine, sepsis, urinary) • Hemorrhage • Atelectasis • Injury to bowel or bladder or ueter • Deep venous thrombosis • Pulmonary embolus • Longer recovery time







Flashcard 1411478850828

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Question
Risks of CS
• Infection (wound, uterine, sepsis, urinary)
• Hemorrhage
• Atelectasis
[...]
• Deep venous thrombosis
• Pulmonary embolus
• Longer recovery time
Answer
Injury to bowel or bladder or ueter

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Risks of CS • Infection (wound, uterine, sepsis, urinary) • Hemorrhage • Atelectasis • Injury to bowel or bladder or ueter • Deep venous thrombosis • Pulmonary embolus • Longer recovery time







Flashcard 1411480423692

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Question
Risks of CS
• Infection (wound, uterine, sepsis, urinary)
• Hemorrhage
• Atelectasis
• Injury to bowel or bladder or ueter
[...]
• Pulmonary embolus
• Longer recovery time
Answer
Deep venous thrombosis

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Risks of CS • Infection (wound, uterine, sepsis, urinary) • Hemorrhage • Atelectasis • Injury to bowel or bladder or ueter • Deep venous thrombosis • Pulmonary embolus • Longer recovery time







Flashcard 1411481996556

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Question
Risks of CS
• Infection (wound, uterine, sepsis, urinary)
• Hemorrhage
• Atelectasis
• Injury to bowel or bladder or ueter
• Deep venous thrombosis
[...]
• Longer recovery time
Answer
Pulmonary embolus

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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scheduled repetition interval               last repetition or drill

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Risks of CS • Infection (wound, uterine, sepsis, urinary) • Hemorrhage • Atelectasis • Injury to bowel or bladder or ueter • Deep venous thrombosis • Pulmonary embolus • Longer recovery time







Flashcard 1411483569420

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Question
Risks of CS
• Infection (wound, uterine, sepsis, urinary)
• Hemorrhage
• Atelectasis
• Injury to bowel or bladder or ueter
• Deep venous thrombosis
• Pulmonary embolus
[...]
Answer
Longer recovery time

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Risks of CS • Infection (wound, uterine, sepsis, urinary) • Hemorrhage • Atelectasis • Injury to bowel or bladder or ueter • Deep venous thrombosis • Pulmonary embolus • Longer recovery time







#obgyn
Non-pharmacologic Pain Relief Techniques in labour:
1. Reduction of painful stimuli
2. Activation of peripheral sensory receptors
3. Enhancement of descending inhibitory pathways
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Flashcard 1411486453004

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Question
Non-pharmacologic Pain Relief Techniques in labour:
1. [...]
2. Activation of peripheral sensory receptors
3. Enhancement of descending inhibitory pathways
Answer
Reduction of painful stimuli

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Non-pharmacologic Pain Relief Techniques in labour: 1. Reduction of painful stimuli 2. Activation of peripheral sensory receptors 3. Enhancement of descending inhibitory pathways







Flashcard 1411488025868

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Question
Non-pharmacologic Pain Relief Techniques in labour:
1. Reduction of painful stimuli
2. [...]
3. Enhancement of descending inhibitory pathways
Answer
Activation of peripheral sensory receptors

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Non-pharmacologic Pain Relief Techniques in labour: 1. Reduction of painful stimuli 2. Activation of peripheral sensory receptors 3. Enhancement of descending inhibitory pathways







Flashcard 1411489598732

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Question
Non-pharmacologic Pain Relief Techniques in labour:
1. Reduction of painful stimuli
2. Activation of peripheral sensory receptors
3. [...]
Answer
Enhancement of descending inhibitory pathways

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Non-pharmacologic Pain Relief Techniques in labour: 1. Reduction of painful stimuli 2. Activation of peripheral sensory receptors 3. Enhancement of descending inhibitory pathways







#obgyn
Reduction of painful stimuli (non-pharm pain relief technique in labour):
• Maternal movement and position change
• Counter-pressure
• Abdominal decompression
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Flashcard 1411492482316

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Question
Reduction of painful stimuli (non-pharm pain relief technique in labour):
[...]
• Counter-pressure
• Abdominal decompression
Answer
Maternal movement and position change

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Reduction of painful stimuli (non-pharm pain relief technique in labour): • Maternal movement and position change • Counter-pressure • Abdominal decompression







Flashcard 1411494055180

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Question
Reduction of painful stimuli (non-pharm pain relief technique in labour):
• Maternal movement and position change
[...]
• Abdominal decompression
Answer
Counter-pressure

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Reduction of painful stimuli (non-pharm pain relief technique in labour): • Maternal movement and position change • Counter-pressure • Abdominal decompression







Flashcard 1411495628044

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Question
Reduction of painful stimuli (non-pharm pain relief technique in labour):
• Maternal movement and position change
• Counter-pressure
[...]
Answer
Abdominal decompression

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Reduction of painful stimuli (non-pharm pain relief technique in labour): • Maternal movement and position change • Counter-pressure • Abdominal decompression







#obgyn
Activation of peripheral sensory receptors (non-pharm pain relief technique for labour):
• Superficial heat and cold
• Immersion in water during labour
• Touch and massage
• Acupuncture and acupressure
• Transcutaneous electrical nerve stimulation (TENS)
• Intradermal injection of sterile water
• Aromatherapy
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Flashcard 1411498511628

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Question
Activation of peripheral sensory receptors (non-pharm pain relief technique for labour):
[...]
• Immersion in water during labour
• Touch and massage
• Acupuncture and acupressure
• Transcutaneous electrical nerve stimulation (TENS)
• Intradermal injection of sterile water
• Aromatherapy
Answer
Superficial heat and cold

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Activation of peripheral sensory receptors (non-pharm pain relief technique for labour): • Superficial heat and cold • Immersion in water during labour • Touch and massage • Acupuncture and acupressure • Transcutaneous electrical nerve stimulation (TENS) • Intradermal injectio







Flashcard 1411500084492

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Question
Activation of peripheral sensory receptors (non-pharm pain relief technique for labour):
• Superficial heat and cold
[...]
• Touch and massage
• Acupuncture and acupressure
• Transcutaneous electrical nerve stimulation (TENS)
• Intradermal injection of sterile water
• Aromatherapy
Answer
Immersion in water during labour

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Activation of peripheral sensory receptors (non-pharm pain relief technique for labour): • Superficial heat and cold • Immersion in water during labour • Touch and massage • Acupuncture and acupressure • Transcutaneous electrical nerve stimulation (TENS) • Intradermal injection of sterile water • Aromatherapy</







Flashcard 1411501657356

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Question
Activation of peripheral sensory receptors (non-pharm pain relief technique for labour):
• Superficial heat and cold
• Immersion in water during labour
[...]
• Acupuncture and acupressure
• Transcutaneous electrical nerve stimulation (TENS)
• Intradermal injection of sterile water
• Aromatherapy
Answer
Touch and massage

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Activation of peripheral sensory receptors (non-pharm pain relief technique for labour): • Superficial heat and cold • Immersion in water during labour • Touch and massage • Acupuncture and acupressure • Transcutaneous electrical nerve stimulation (TENS) • Intradermal injection of sterile water • Aromatherapy







Flashcard 1411503230220

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Question
Activation of peripheral sensory receptors (non-pharm pain relief technique for labour):
• Superficial heat and cold
• Immersion in water during labour
• Touch and massage
[...]
• Transcutaneous electrical nerve stimulation (TENS)
• Intradermal injection of sterile water
• Aromatherapy
Answer
Acupuncture and acupressure

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Activation of peripheral sensory receptors (non-pharm pain relief technique for labour): • Superficial heat and cold • Immersion in water during labour • Touch and massage • Acupuncture and acupressure • Transcutaneous electrical nerve stimulation (TENS) • Intradermal injection of sterile water • Aromatherapy







Flashcard 1411504803084

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Question
Activation of peripheral sensory receptors (non-pharm pain relief technique for labour):
• Superficial heat and cold
• Immersion in water during labour
• Touch and massage
• Acupuncture and acupressure
[...]
• Intradermal injection of sterile water
• Aromatherapy
Answer
Transcutaneous electrical nerve stimulation (TENS)

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y>Activation of peripheral sensory receptors (non-pharm pain relief technique for labour): • Superficial heat and cold • Immersion in water during labour • Touch and massage • Acupuncture and acupressure • Transcutaneous electrical nerve stimulation (TENS) • Intradermal injection of sterile water • Aromatherapy<body><html>







Flashcard 1411506375948

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Question
Activation of peripheral sensory receptors (non-pharm pain relief technique for labour):
• Superficial heat and cold
• Immersion in water during labour
• Touch and massage
• Acupuncture and acupressure
• Transcutaneous electrical nerve stimulation (TENS)
[...]
• Aromatherapy
Answer
Intradermal injection of sterile water

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non-pharm pain relief technique for labour): • Superficial heat and cold • Immersion in water during labour • Touch and massage • Acupuncture and acupressure • Transcutaneous electrical nerve stimulation (TENS) • <span>Intradermal injection of sterile water • Aromatherapy<span><body><html>







Flashcard 1411507948812

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Question
Activation of peripheral sensory receptors (non-pharm pain relief technique for labour):
• Superficial heat and cold
• Immersion in water during labour
• Touch and massage
• Acupuncture and acupressure
• Transcutaneous electrical nerve stimulation (TENS)
• Intradermal injection of sterile water
[...]
Answer
Aromatherapy

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13; • Superficial heat and cold • Immersion in water during labour • Touch and massage • Acupuncture and acupressure • Transcutaneous electrical nerve stimulation (TENS) • Intradermal injection of sterile water • <span>Aromatherapy<span><body><html>







#obgyn
Enhancement of descending inhibitory pathways (non-pharm pain relief technique for labour):
• Attention focusing and distraction
• Hypnosis and self-hypnosis
• Music and audio analgesia
• Biofeedback
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Flashcard 1411510832396

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Question
Enhancement of descending inhibitory pathways (non-pharm pain relief technique for labour):
[...]
• Hypnosis and self-hypnosis
• Music and audio analgesia
• Biofeedback
Answer
Attention focusing and distraction

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Enhancement of descending inhibitory pathways (non-pharm pain relief technique for labour): • Attention focusing and distraction • Hypnosis and self-hypnosis • Music and audio analgesia • Biofeedback







Flashcard 1411512405260

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Question
Enhancement of descending inhibitory pathways (non-pharm pain relief technique for labour):
• Attention focusing and distraction
[...]
• Music and audio analgesia
• Biofeedback
Answer
Hypnosis and self-hypnosis

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Enhancement of descending inhibitory pathways (non-pharm pain relief technique for labour): • Attention focusing and distraction • Hypnosis and self-hypnosis • Music and audio analgesia • Biofeedback







Flashcard 1411513978124

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Question
Enhancement of descending inhibitory pathways (non-pharm pain relief technique for labour):
• Attention focusing and distraction
• Hypnosis and self-hypnosis
[...]
• Biofeedback
Answer
Music and audio analgesia

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Enhancement of descending inhibitory pathways (non-pharm pain relief technique for labour): • Attention focusing and distraction • Hypnosis and self-hypnosis • Music and audio analgesia • Biofeedback







Flashcard 1411515550988

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Question
Enhancement of descending inhibitory pathways (non-pharm pain relief technique for labour):
• Attention focusing and distraction
• Hypnosis and self-hypnosis
• Music and audio analgesia
[...]
Answer
Biofeedback

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tml>Enhancement of descending inhibitory pathways (non-pharm pain relief technique for labour): • Attention focusing and distraction • Hypnosis and self-hypnosis • Music and audio analgesia • Biofeedback<html>







#obgyn
Pharm methods of pain relief in labour & birth:
1. Nitrous Oxide
2. Narcotics
3 . Peripheral Nerve Blocks – Pudendal Nerve Block
4 . Perineal Infiltration
5 . Regional Anaesthesia
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Flashcard 1411518434572

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Question
Pharm methods of pain relief in labour & birth:
1. [...]
2. Narcotics
3 . Peripheral Nerve Blocks – Pudendal Nerve Block
4 . Perineal Infiltration
5 . Regional Anaesthesia
Answer
Nitrous Oxide

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Pharm methods of pain relief in labour & birth: 1. Nitrous Oxide 2. Narcotics 3 . Peripheral Nerve Blocks – Pudendal Nerve Block 4 . Perineal Infiltration 5 . Regional Anaesthesia







Flashcard 1411520007436

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Question
Pharm methods of pain relief in labour & birth:
1. Nitrous Oxide
2. [...]
3 . Peripheral Nerve Blocks – Pudendal Nerve Block
4 . Perineal Infiltration
5 . Regional Anaesthesia
Answer
Narcotics

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Pharm methods of pain relief in labour & birth: 1. Nitrous Oxide 2. Narcotics 3 . Peripheral Nerve Blocks – Pudendal Nerve Block 4 . Perineal Infiltration 5 . Regional Anaesthesia







Flashcard 1411521580300

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Question
Pharm methods of pain relief in labour & birth:
1. Nitrous Oxide
2. Narcotics
3 . [...]
4 . Perineal Infiltration
5 . Regional Anaesthesia
Answer
Peripheral Nerve Blocks – Pudendal Nerve Block

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Pharm methods of pain relief in labour & birth: 1. Nitrous Oxide 2. Narcotics 3 . Peripheral Nerve Blocks – Pudendal Nerve Block 4 . Perineal Infiltration 5 . Regional Anaesthesia







Flashcard 1411523153164

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Question
Pharm methods of pain relief in labour & birth:
1. Nitrous Oxide
2. Narcotics
3 . Peripheral Nerve Blocks – Pudendal Nerve Block
4 . [...]
5 . Regional Anaesthesia
Answer
Perineal Infiltration

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Pharm methods of pain relief in labour & birth: 1. Nitrous Oxide 2. Narcotics 3 . Peripheral Nerve Blocks – Pudendal Nerve Block 4 . Perineal Infiltration 5 . Regional Anaesthesia







Flashcard 1411524726028

Tags
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Question
Pharm methods of pain relief in labour & birth:
1. Nitrous Oxide
2. Narcotics
3 . Peripheral Nerve Blocks – Pudendal Nerve Block
4 . Perineal Infiltration
5 . [...]
Answer
Regional Anaesthesia

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Pharm methods of pain relief in labour & birth: 1. Nitrous Oxide 2. Narcotics 3 . Peripheral Nerve Blocks – Pudendal Nerve Block 4 . Perineal Infiltration 5 . Regional Anaesthesia







#obgyn
Nitrous Oxide as pharm pain relief in labour:
• Entonox is self-administered. Deep inhalation begins as the woman is aware of the onset of a contraction. Useful in latter part of first stage of labour. ​
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Flashcard 1411527609612

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Question
Nitrous Oxide as pharm pain relief in labour:
[...] is self-administered. Deep inhalation begins as the woman is aware of the onset of a contraction. Useful in latter part of first stage of labour. ​
Answer
Entonox

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Nitrous Oxide as pharm pain relief in labour: • Entonox is self-administered. Deep inhalation begins as the woman is aware of the onset of a contraction. Useful in latter part of first stage of labour. ​







Flashcard 1411529182476

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Question
Nitrous Oxide as pharm pain relief in labour:
• Entonox is self-administered. Deep inhalation begins as the woman is aware of the onset of a contraction. Useful in [...] stage of labour. ​
Answer
latter part of first

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Nitrous Oxide as pharm pain relief in labour: • Entonox is self-administered. Deep inhalation begins as the woman is aware of the onset of a contraction. Useful in latter part of first stage of labour. ​







#obgyn
Narcotics as pharm pain relief in labour/birth:
• Can be given IV and with PCA pumps
• Usually combined with anti-emetic
• Decrease fetal heart rate variability
• Cause neonatal respiratory depression (reverse with naloxone given to newborn)
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Flashcard 1411532066060

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Question
Narcotics as pharm pain relief in labour/birth:
• Can be given [...]
• Usually combined with anti-emetic
• Decrease fetal heart rate variability
• Cause neonatal respiratory depression (reverse with naloxone given to newborn)
Answer
IV and with PCA pumps

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Narcotics as pharm pain relief in labour/birth: • Can be given IV and with PCA pumps • Usually combined with anti-emetic • Decrease fetal heart rate variability • Cause neonatal respiratory depression (reverse with naloxone given to newborn)







Flashcard 1411533638924

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Question
Narcotics as pharm pain relief in labour/birth:
• Can be given IV and with PCA pumps
• Usually combined with [...]
• Decrease fetal heart rate variability
• Cause neonatal respiratory depression (reverse with naloxone given to newborn)
Answer
anti-emetic

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Narcotics as pharm pain relief in labour/birth: • Can be given IV and with PCA pumps • Usually combined with anti-emetic • Decrease fetal heart rate variability • Cause neonatal respiratory depression (reverse with naloxone given to newborn)







Flashcard 1411535211788

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Question
Narcotics as pharm pain relief in labour/birth:
• Can be given IV and with PCA pumps
• Usually combined with anti-emetic
• Decrease [...]
• Cause neonatal respiratory depression (reverse with naloxone given to newborn)
Answer
fetal heart rate variability

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Narcotics as pharm pain relief in labour/birth: • Can be given IV and with PCA pumps • Usually combined with anti-emetic • Decrease fetal heart rate variability • Cause neonatal respiratory depression (reverse with naloxone given to newborn)







Flashcard 1411536784652

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Question
Narcotics as pharm pain relief in labour/birth:
• Can be given IV and with PCA pumps
• Usually combined with anti-emetic
• Decrease fetal heart rate variability
• Cause [...]
Answer
neonatal respiratory depression (reverse with naloxone given to newborn)

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Narcotics as pharm pain relief in labour/birth: • Can be given IV and with PCA pumps • Usually combined with anti-emetic • Decrease fetal heart rate variability • Cause neonatal respiratory depression (reverse with naloxone given to newborn)







#obgyn
Peripheral Nerve Blocks – Pudendal Nerve Block as pharm pain relief in labour/birth
• Used for analgesia of perineum in second stage
• Useful when other regional analgesia is not available or ineffective
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Flashcard 1411539668236

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Question
Peripheral Nerve Blocks – Pudendal Nerve Block as pharm pain relief in labour/birth
• Used for analgesia of [...] in second stage
• Useful when other regional analgesia is not available or ineffective
Answer
perineum

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Peripheral Nerve Blocks – Pudendal Nerve Block as pharm pain relief in labour/birth • Used for analgesia of perineum in second stage • Useful when other regional analgesia is not available or ineffective







Flashcard 1411541241100

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Question
Peripheral Nerve Blocks – Pudendal Nerve Block as pharm pain relief in labour/birth
• Used for analgesia of perineum in [...] stage
• Useful when other regional analgesia is not available or ineffective
Answer
second

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Peripheral Nerve Blocks – Pudendal Nerve Block as pharm pain relief in labour/birth • Used for analgesia of perineum in second stage • Useful when other regional analgesia is not available or ineffective







Flashcard 1411542813964

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Question
Peripheral Nerve Blocks – Pudendal Nerve Block as pharm pain relief in labour/birth
• Used for analgesia of perineum in second stage
• Useful when [...]
Answer
other regional analgesia is not available or ineffective

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Peripheral Nerve Blocks – Pudendal Nerve Block as pharm pain relief in labour/birth • Used for analgesia of perineum in second stage • Useful when other regional analgesia is not available or ineffective







#obgyn
Epidural block can provide effective pain relief throughout all stages of labour and delivery
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Flashcard 1411545697548

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[...] can provide effective pain relief throughout all stages of labour and delivery
Answer
Epidural block

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Epidural block can provide effective pain relief throughout all stages of labour and delivery







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Epidural analgesia can be beneficial to women with dystocia secondary to hypotonic contractions whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates the use of the most appropriate oxytocin dosage to improve labour progress
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Flashcard 1411548581132

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[...] can be beneficial to women with dystocia secondary to hypotonic contractions whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates the use of the most appropriate oxytocin dosage to improve labour progress
Answer
Epidural analgesia

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Epidural analgesia can be beneficial to women with dystocia secondary to hypotonic contractions whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates th







Flashcard 1411550153996

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Epidural analgesia can be beneficial to women with [...] secondary to hypotonic contractions whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates the use of the most appropriate oxytocin dosage to improve labour progress
Answer
dystocia

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Epidural analgesia can be beneficial to women with dystocia secondary to hypotonic contractions whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates the use of the most appropriate oxytocin do







Flashcard 1411551726860

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Epidural analgesia can be beneficial to women with dystocia secondary to [...] whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates the use of the most appropriate oxytocin dosage to improve labour progress
Answer
hypotonic contractions

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Epidural analgesia can be beneficial to women with dystocia secondary to hypotonic contractions whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates the use of the most appropriate oxytocin dosage to improve labour progress</spa







Flashcard 1411553299724

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Epidural analgesia can be beneficial to women with dystocia secondary to hypotonic contractions whose labour will require [...]. Provision of more effective pain relief facilitates the use of the most appropriate oxytocin dosage to improve labour progress
Answer
augmentation with oxytocin

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Epidural analgesia can be beneficial to women with dystocia secondary to hypotonic contractions whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates the use of the most appropriate oxytocin dosage to improve labour progress







Flashcard 1411554872588

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Epidural analgesia can be beneficial to women with dystocia secondary to hypotonic contractions whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates the use of the most appropriate [...] to improve labour progress
Answer
oxytocin dosage

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an>Epidural analgesia can be beneficial to women with dystocia secondary to hypotonic contractions whose labour will require augmentation with oxytocin. Provision of more effective pain relief facilitates the use of the most appropriate oxytocin dosage to improve labour progress<span><body><html>







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Absolute Contra-Indications to a VBAC
• Previous classical, inverted-T, or unknown incision
• Other uterine surgeries (myomectomy)
• Previous history of uterine rupture
• Opinion of previous surgeon (important to get CS operative note)
• Mother desires a repeat CS
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Flashcard 1411557756172

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Absolute Contra-Indications to a VBAC
[...]
• Other uterine surgeries (myomectomy)
• Previous history of uterine rupture
• Opinion of previous surgeon (important to get CS operative note)
• Mother desires a repeat CS
Answer
Previous classical, inverted-T, or unknown incision

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Absolute Contra-Indications to a VBAC • Previous classical, inverted-T, or unknown incision • Other uterine surgeries (myomectomy) • Previous history of uterine rupture • Opinion of previous surgeon (important to get CS operative note) • Mother desires a re







Flashcard 1411559329036

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Absolute Contra-Indications to a VBAC
• Previous classical, inverted-T, or unknown incision
[...]
• Previous history of uterine rupture
• Opinion of previous surgeon (important to get CS operative note)
• Mother desires a repeat CS
Answer
Other uterine surgeries (myomectomy)

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Absolute Contra-Indications to a VBAC • Previous classical, inverted-T, or unknown incision • Other uterine surgeries (myomectomy) • Previous history of uterine rupture • Opinion of previous surgeon (important to get CS operative note) • Mother desires a repeat CS







Flashcard 1411560901900

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Absolute Contra-Indications to a VBAC
• Previous classical, inverted-T, or unknown incision
• Other uterine surgeries (myomectomy)
[...]
• Opinion of previous surgeon (important to get CS operative note)
• Mother desires a repeat CS
Answer
Previous history of uterine rupture

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Absolute Contra-Indications to a VBAC • Previous classical, inverted-T, or unknown incision • Other uterine surgeries (myomectomy) • Previous history of uterine rupture • Opinion of previous surgeon (important to get CS operative note) • Mother desires a repeat CS







Flashcard 1411562474764

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Absolute Contra-Indications to a VBAC
• Previous classical, inverted-T, or unknown incision
• Other uterine surgeries (myomectomy)
• Previous history of uterine rupture
[...]
• Mother desires a repeat CS
Answer
Opinion of previous surgeon (important to get CS operative note)

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Absolute Contra-Indications to a VBAC • Previous classical, inverted-T, or unknown incision • Other uterine surgeries (myomectomy) • Previous history of uterine rupture • Opinion of previous surgeon (important to get CS operative note) • Mother desires a repeat CS







Flashcard 1411564047628

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Absolute Contra-Indications to a VBAC
• Previous classical, inverted-T, or unknown incision
• Other uterine surgeries (myomectomy)
• Previous history of uterine rupture
• Opinion of previous surgeon (important to get CS operative note)
[...]
Answer
Mother desires a repeat CS

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cations to a VBAC • Previous classical, inverted-T, or unknown incision • Other uterine surgeries (myomectomy) • Previous history of uterine rupture • Opinion of previous surgeon (important to get CS operative note) • <span>Mother desires a repeat CS<span><body><html>







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Relative Contra-indications to a trial of VBAC
• If induction required
• Two or more previous lower segment CS scars
• Multiple pregnancy
• Breech presentation
• Previous poor obstetrical history
• Patient desires a tubal sterilization
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Flashcard 1411566931212

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Relative Contra-indications to a trial of VBAC
• If [...] required
• Two or more previous lower segment CS scars
• Multiple pregnancy
• Breech presentation
• Previous poor obstetrical history
• Patient desires a tubal sterilization
Answer
induction

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Relative Contra-indications to a trial of VBAC • If induction required • Two or more previous lower segment CS scars • Multiple pregnancy • Breech presentation • Previous poor obstetrical history • Patient desires a tubal







Flashcard 1411568504076

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Relative Contra-indications to a trial of VBAC
• If induction required
• Two or more previous [...]
• Multiple pregnancy
• Breech presentation
• Previous poor obstetrical history
• Patient desires a tubal sterilization
Answer
lower segment CS scars

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Relative Contra-indications to a trial of VBAC • If induction required • Two or more previous lower segment CS scars • Multiple pregnancy • Breech presentation • Previous poor obstetrical history • Patient desires a tubal sterilization







Flashcard 1411570076940

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Relative Contra-indications to a trial of VBAC
• If induction required
• Two or more previous lower segment CS scars
[...]
• Breech presentation
• Previous poor obstetrical history
• Patient desires a tubal sterilization
Answer
Multiple pregnancy

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Relative Contra-indications to a trial of VBAC • If induction required • Two or more previous lower segment CS scars • Multiple pregnancy • Breech presentation • Previous poor obstetrical history • Patient desires a tubal sterilization







Flashcard 1411571649804

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Relative Contra-indications to a trial of VBAC
• If induction required
• Two or more previous lower segment CS scars
• Multiple pregnancy
[...]
• Previous poor obstetrical history
• Patient desires a tubal sterilization
Answer
Breech presentation

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Relative Contra-indications to a trial of VBAC • If induction required • Two or more previous lower segment CS scars • Multiple pregnancy • Breech presentation • Previous poor obstetrical history • Patient desires a tubal sterilization







Flashcard 1411573222668

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Relative Contra-indications to a trial of VBAC
• If induction required
• Two or more previous lower segment CS scars
• Multiple pregnancy
• Breech presentation
[...]
• Patient desires a tubal sterilization
Answer
Previous poor obstetrical history

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Relative Contra-indications to a trial of VBAC • If induction required • Two or more previous lower segment CS scars • Multiple pregnancy • Breech presentation • Previous poor obstetrical history • Patient desires a tubal sterilization







Flashcard 1411574795532

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Relative Contra-indications to a trial of VBAC
• If induction required
• Two or more previous lower segment CS scars
• Multiple pregnancy
• Breech presentation
• Previous poor obstetrical history
[...]
Answer
Patient desires a tubal sterilization

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dy>Relative Contra-indications to a trial of VBAC • If induction required • Two or more previous lower segment CS scars • Multiple pregnancy • Breech presentation • Previous poor obstetrical history • Patient desires a tubal sterilization<body><html>







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Risks of Trial of VBAC
• Prolonged labour
• Maternal fever and infection
• Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including infection, bleeding, trauma etc.
• Uterine rupture: with increased risk of maternal haemorrhage, fetal morbidity and mortality, possible need for Cesarean hysterectomy and ultimate loss of fertility
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Flashcard 1411577679116

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Question
Risks of Trial of VBAC
[...]
• Maternal fever and infection
• Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including infection, bleeding, trauma etc.
• Uterine rupture: with increased risk of maternal haemorrhage, fetal morbidity and mortality, possible need for Cesarean hysterectomy and ultimate loss of fertility
Answer
Prolonged labour

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Risks of Trial of VBAC • Prolonged labour • Maternal fever and infection • Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS inclu







Flashcard 1411579251980

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Question
Risks of Trial of VBAC
• Prolonged labour
[...]
• Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including infection, bleeding, trauma etc.
• Uterine rupture: with increased risk of maternal haemorrhage, fetal morbidity and mortality, possible need for Cesarean hysterectomy and ultimate loss of fertility
Answer
Maternal fever and infection

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Risks of Trial of VBAC • Prolonged labour • Maternal fever and infection • Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including infection, bleeding, trauma etc







Flashcard 1411580824844

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Question
Risks of Trial of VBAC
• Prolonged labour
• Maternal fever and infection
• Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including [...]
• Uterine rupture: with increased risk of maternal haemorrhage, fetal morbidity and mortality, possible need for Cesarean hysterectomy and ultimate loss of fertility
Answer
infection, bleeding, trauma etc.

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Risks of Trial of VBAC • Prolonged labour • Maternal fever and infection • Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including infection, bleeding, trauma etc. • Uterine rupture: with increased risk of maternal haemorrhage, fetal morbidity and mortality, possible need for Cesarean hysterectomy and ultimate loss of fertility <span>







Flashcard 1411582397708

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Question
Risks of Trial of VBAC
• Prolonged labour
• Maternal fever and infection
• Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including infection, bleeding, trauma etc.
[...]: with increased risk of maternal haemorrhage, fetal morbidity and mortality, possible need for Cesarean hysterectomy and ultimate loss of fertility
Answer
Uterine rupture

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onged labour • Maternal fever and infection • Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including infection, bleeding, trauma etc. • <span>Uterine rupture: with increased risk of maternal haemorrhage, fetal morbidity and mortality, possible need for Cesarean hysterectomy and ultimate loss of fertility <span><body><html>







Flashcard 1411583970572

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Question
Risks of Trial of VBAC
• Prolonged labour
• Maternal fever and infection
• Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including infection, bleeding, trauma etc.
• Uterine rupture: with increased risk of [...]
Answer
maternal haemorrhage, fetal morbidity and mortality, possible need for Cesarean hysterectomy and ultimate loss of fertility

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nfection • Failed trial necessitating a repeat CS: risks of a CS done after a failed trial of VBAC are all higher when compared with an elective CS including infection, bleeding, trauma etc. • Uterine rupture: with increased risk of <span>maternal haemorrhage, fetal morbidity and mortality, possible need for Cesarean hysterectomy and ultimate loss of fertility <span><body><html>







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Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock.
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
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Flashcard 1411586854156

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Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when [...] is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock.
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
Answer
induction of labour

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Uterine Rupture: The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin. Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the







Flashcard 1411588427020

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Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with [...].
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock.
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
Answer
high dose oxytocin

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Uterine Rupture: The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin. Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother. If the woman has an epidur







Flashcard 1411589999884

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Question
Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a [...] and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock.
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
Answer
profound fetal bradycardia with no recovery

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ad>Uterine Rupture: The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin. Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother. If the woman has an epidural for pain relief, the pain may not be experienced. Other signs and symptoms include: cessation of







Flashcard 1411591572748

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Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and [...].
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock.
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
Answer
constant lower abdominal pain in the mother

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isk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin. Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and <span>constant lower abdominal pain in the mother. If the woman has an epidural for pain relief, the pain may not be experienced. Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recessio







Flashcard 1411593145612

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Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: [...], vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock.
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
Answer
cessation of uterine contractions

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ns of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother. If the woman has an epidural for pain relief, the pain may not be experienced. Other signs and symptoms include: <span>cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage,







Flashcard 1411594718476

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Question
Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, [...], recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock.
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
Answer
vaginal bleeding

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fetal bradycardia with no recovery and constant lower abdominal pain in the mother. If the woman has an epidural for pain relief, the pain may not be experienced. Other signs and symptoms include: cessation of uterine contractions, <span>vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic sh







Flashcard 1411596291340

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Question
Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, [...], intra-abdominal haemorrhage, and hypovolemic shock.
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
Answer
recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision)

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with no recovery and constant lower abdominal pain in the mother. If the woman has an epidural for pain relief, the pain may not be experienced. Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, <span>recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock. Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes. <







Flashcard 1411597864204

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Question
Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), [...], and hypovolemic shock.
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
Answer
intra-abdominal haemorrhage

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experienced. Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), <span>intra-abdominal haemorrhage, and hypovolemic shock. Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes. <span><body><html>







Flashcard 1411599437068

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Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and [...].
Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes.
Answer
hypovolemic shock

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d symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and <span>hypovolemic shock. Although a previous uterine scar is the most common reason for uterine rupture in our society, there are other causes. <span><body><html>







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Uterine Rupture:
The risk of uterine rupture during a trial of VBAC increases considerably when induction of labour is required and with high dose oxytocin.
Usually one of the first signs of uterine rupture is a profound fetal bradycardia with no recovery and constant lower abdominal pain in the mother.
If the woman has an epidural for pain relief, the pain may not be experienced.
Other signs and symptoms include: cessation of uterine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock.
Although a [...] is the most common reason for uterine rupture in our society, there are other causes.
Answer
previous uterine scar

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erine contractions, vaginal bleeding, recession of the presenting part on vaginal examination (fetus may be extruded into the peritoneal cavity through the uterine incision), intra-abdominal haemorrhage, and hypovolemic shock. Although a <span>previous uterine scar is the most common reason for uterine rupture in our society, there are other causes. <span><body><html>







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Causes of Uterine Rupture in pregnancy:
• Uterine Scar: CS, myomectomy, previous uterine perforation during D&C, salpingectomy with cornual resection
• Excessive Uterine Action: Oxytocin, prostaglandins, neglected obstructed labour
• Trauma: ECV, Forceps, manual removal of placenta, trauma (motor vehicle, assault)
• Miscellaneous: multiparity, uterine anomalies, placenta accreta
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Causes of Uterine Rupture in pregnancy:
[...]
• Excessive Uterine Action: Oxytocin, prostaglandins, neglected obstructed labour
• Trauma: ECV, Forceps, manual removal of placenta, trauma (motor vehicle, assault)
• Miscellaneous: multiparity, uterine anomalies, placenta accreta
Answer
Uterine Scar: CS, myomectomy, previous uterine perforation during D&C, salpingectomy with cornual resection

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Causes of Uterine Rupture in pregnancy: • Uterine Scar: CS, myomectomy, previous uterine perforation during D&C, salpingectomy with cornual resection • Excessive Uterine Action: Oxytocin, prostaglandins, neglected obstructed labour • Trauma: ECV, Forceps, manual removal of placenta, trauma (motor vehicle, assault) • Mi







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Causes of Uterine Rupture in pregnancy:
• Uterine Scar: CS, myomectomy, previous uterine perforation during D&C, salpingectomy with cornual resection
[...]
• Trauma: ECV, Forceps, manual removal of placenta, trauma (motor vehicle, assault)
• Miscellaneous: multiparity, uterine anomalies, placenta accreta
Answer
Excessive Uterine Action: Oxytocin, prostaglandins, neglected obstructed labour

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Causes of Uterine Rupture in pregnancy: • Uterine Scar: CS, myomectomy, previous uterine perforation during D&C, salpingectomy with cornual resection • Excessive Uterine Action: Oxytocin, prostaglandins, neglected obstructed labour • Trauma: ECV, Forceps, manual removal of placenta, trauma (motor vehicle, assault) • Miscellaneous: multiparity, uterine anomalies, placenta accreta</htm







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Causes of Uterine Rupture in pregnancy:
• Uterine Scar: CS, myomectomy, previous uterine perforation during D&C, salpingectomy with cornual resection
• Excessive Uterine Action: Oxytocin, prostaglandins, neglected obstructed labour
[...]
• Miscellaneous: multiparity, uterine anomalies, placenta accreta
Answer
Trauma: ECV, Forceps, manual removal of placenta, trauma (motor vehicle, assault)

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Uterine Rupture in pregnancy: • Uterine Scar: CS, myomectomy, previous uterine perforation during D&C, salpingectomy with cornual resection • Excessive Uterine Action: Oxytocin, prostaglandins, neglected obstructed labour • <span>Trauma: ECV, Forceps, manual removal of placenta, trauma (motor vehicle, assault) • Miscellaneous: multiparity, uterine anomalies, placenta accreta<span><body><html>







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Causes of Uterine Rupture in pregnancy:
• Uterine Scar: CS, myomectomy, previous uterine perforation during D&C, salpingectomy with cornual resection
• Excessive Uterine Action: Oxytocin, prostaglandins, neglected obstructed labour
• Trauma: ECV, Forceps, manual removal of placenta, trauma (motor vehicle, assault)
• Miscellaneous: [...]
Answer
multiparity, uterine anomalies, placenta accreta

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&C, salpingectomy with cornual resection • Excessive Uterine Action: Oxytocin, prostaglandins, neglected obstructed labour • Trauma: ECV, Forceps, manual removal of placenta, trauma (motor vehicle, assault) • Miscellaneous: <span>multiparity, uterine anomalies, placenta accreta<span><body><html>







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Management of Uterine Rupture:
• Stabilize mother and treat hypovolemia
• Call for assistance – nursing, pediatrician, anesthesia, respiratory tech.
• Emergency laparotomy to deliver fetus, placenta and repair uterus.
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Management of Uterine Rupture:
[...]
• Call for assistance – nursing, pediatrician, anesthesia, respiratory tech.
• Emergency laparotomy to deliver fetus, placenta and repair uterus.
Answer
Stabilize mother and treat hypovolemia

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Management of Uterine Rupture: • Stabilize mother and treat hypovolemia • Call for assistance – nursing, pediatrician, anesthesia, respiratory tech. • Emergency laparotomy to deliver fetus, placenta and repair uterus.







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Management of Uterine Rupture:
• Stabilize mother and treat hypovolemia
[...]
• Emergency laparotomy to deliver fetus, placenta and repair uterus.
Answer
Call for assistance – nursing, pediatrician, anesthesia, respiratory tech.

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Management of Uterine Rupture: • Stabilize mother and treat hypovolemia • Call for assistance – nursing, pediatrician, anesthesia, respiratory tech. • Emergency laparotomy to deliver fetus, placenta and repair uterus.







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Management of Uterine Rupture:
• Stabilize mother and treat hypovolemia
• Call for assistance – nursing, pediatrician, anesthesia, respiratory tech.
[...]
Answer
Emergency laparotomy to deliver fetus, placenta and repair uterus.

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Management of Uterine Rupture: • Stabilize mother and treat hypovolemia • Call for assistance – nursing, pediatrician, anesthesia, respiratory tech. • Emergency laparotomy to deliver fetus, placenta and repair uterus.







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Contra-indications to Induction
• Placenta previa, vasa previa, cord presentation
• Abnormal fetal lie
• Prior classical CS scar or inverted T incision
• Uterine surgery
• Active genital herpes
• Pelvic structural deformities
• Invasive cervical cancer
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Contra-indications to Induction
[...], vasa previa, cord presentation
• Abnormal fetal lie
• Prior classical CS scar or inverted T incision
• Uterine surgery
• Active genital herpes
• Pelvic structural deformities
• Invasive cervical cancer
Answer
Placenta previa

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Contra-indications to Induction • Placenta previa, vasa previa, cord presentation • Abnormal fetal lie • Prior classical CS scar or inverted T incision • Uterine surgery • Active genital herpes • Pelvic structu







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Contra-indications to Induction
• Placenta previa, [...], cord presentation
• Abnormal fetal lie
• Prior classical CS scar or inverted T incision
• Uterine surgery
• Active genital herpes
• Pelvic structural deformities
• Invasive cervical cancer
Answer
vasa previa

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Contra-indications to Induction • Placenta previa, vasa previa, cord presentation • Abnormal fetal lie • Prior classical CS scar or inverted T incision • Uterine surgery • Active genital herpes • Pelvic structural deformiti







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Contra-indications to Induction
• Placenta previa, vasa previa, [...]
• Abnormal fetal lie
• Prior classical CS scar or inverted T incision
• Uterine surgery
• Active genital herpes
• Pelvic structural deformities
• Invasive cervical cancer
Answer
cord presentation

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Contra-indications to Induction • Placenta previa, vasa previa, cord presentation • Abnormal fetal lie • Prior classical CS scar or inverted T incision • Uterine surgery • Active genital herpes • Pelvic structural deformities • Invasive







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Contra-indications to Induction
• Placenta previa, vasa previa, cord presentation
[...]
• Prior classical CS scar or inverted T incision
• Uterine surgery
• Active genital herpes
• Pelvic structural deformities
• Invasive cervical cancer
Answer
Abnormal fetal lie

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