Patiente de 37 ans G4P3
Patiente de 37 ans G4P3. ▫ accouchement difficile 3 ans auparavant sous péridurale. ▫ à terme 4200 g forceps +épisiotomie+ déchirure+= Périnée complet.
Primary Bilateral Tubal Pregnancy: A Case Report and Review of
This is a case of a 32 year- old G4P3 (4004) who presented with amenorrhea of 5 weeks vaginal bleeding
Que faire quand des unités RH:-18 ne sont pas disponibles
2 sept. 2019 Définition du phénotype RH:-18. Un phénotype RH:-18 mais plusieurs ... (G4P3) Détresse foetale => césarienne en urgence. IAT-IgG IAT-IgG ...
Déclenchement artificiel du travail et utérus uni cicatriciel: facteurs
12 nov. 2020 Sont exclues de cette définition les cicatrices uniquement séreuses ou ... âgée de 41 ans G4P3
Cervical pessary in prevention of preterm birth: A case series*
G4P3 (3003). 0.58 hodge. 19 3/7 weeks. 33 2/7 weeks. 13 6/7. AS 89. BW 1950. BL 44 This definition applies to all three cases in this series. The incidence ...
Sans titre
Mobilisation utérine : deux doigts placés sous le col mobilisent l'utérus qui peut alors être palpé par la main placée sur l'abdomen : on recherche :.
Syndrome dEhlers-Danlos et grossesse
Définition et diagnostic - Patiente âgée de 29 ans G4P3
Insuffisance Rénale Aiguë du post –partum et Acide Tranexamique
18 oct. 2013 -Définition: Hémorragie de 500mL dans les 24 heures suivant l'expulsion fœtale. - ... G4P3. G4P3. G3P2. G2P2. ATCD obstétricaux. /. Stérilité.
Diagnostic Accuracy of Intraoperative Frozen Section in the
She is a G4P3 (3013). All the living children were delivered via normal I is defined as tumor limited to the vaginal wall. Stage. II the tumor has ...
Université de Poitiers Faculté de Médecine et de Pharmacie THESE
Sa définition. Pour ce qui est du cas de l'enfant ayant un score d'Apgar < 7 à 5 minutes il s'agissait d'une patiente G4P3 ...
[PDF] examen gynécologique - Unithequecom
Mobilisation utérine : deux doigts placés sous le col mobilisent l'utérus qui peut alors être palpé par la main placée sur l'abdomen : on recherche :
[PDF] hysterectomie-par-voie-hautepdf
I DEFINITION II LES DIFFERENTES VOIES D 'ABORD CHIRURGICALES I Définition A(+) G4P3 HTA utérus myomateux bilatérale
[PDF] Quand la grossesse nest plus physiologique
Définitions - Physiologique : grossesse d'évolution normale peut se produire chez une femme avec des facteurs de risques - Bas risque
[PDF] Que faire quand des unités RH:-18 ne sont pas disponibles
19 sept 2019 · Définition du phénotype RH:-18 G4/P3- Absence d'antécédants transfusionnel (G4P3) Détresse foetale => césarienne anti-RH18
[PDF] Fractures fémorales sur prothèse totale de la hanche
-G4P3 -pas de signes physiques d'incontinence urinaire means of 68 years age all the patients are carrying factors of morbidity the fracture
[PDF] Myomes et périménopause
Définition de la périménopause • À partir de 47 ans + année qui suit G4P3 3 césariennes (1998 2000 et 2002)et une IVG (2008) • Myomectomies en 1996
[PDF] Suivi gynécologique : quelles sont les perceptions des patientes sur
divorcée GO (femme) G4P3 Loyettes 13 min 38 HUET (CC BY-NC-ND 2 0) La définition européenne de la médecine générale - médecine de famille
[PDF] Presented by Jodi McGraw MD - UW Health
?Elevated blood pressure and ?Proteinuria ?(edema not required) ?Worst complication is seizure/HELLP (hemolysis elevated LFT's low platelets)
OBGYN TERMINOLOGY AND DEFINITION - Sinoe Medical Association
The patient is gravida 3 3-0-0-3 GPA terminology with GPA as the abbreviation for gravida para abortus Accompanied by arabic numbers G P and A (or Ab) describe the patient's obstetric history Roman numerals are not used G gravida (number of pregnancies) P para (number of births of viable offspring) A or Ab abortus (abortions)
Primary Bilateral Tubal Pregnancy: A Case Report and Review
old G4P3 (4004) who presented with amenorrhea of 5 weeks vaginal bleeding and abdominal pain The triad of symptoms elevated serum ?-HCG levels along with a transvaginal ultrasound finding of a right adnexal mass led to the impression of a ruptured ectopic pregnancy probably tubal Patient underwent laparoscopy and intraoperative findings
FGS Maternity Care and Delivery Slide15 - AAPC
Indications: 23 y/o G4P3 at 38 and 4/7 weeks 1 admitted in labor She has been followed in the OB clinic with no complications 2 Stage I: Patient was admitted with a cervical exam of 3/c/-1 She slowly progressed to 5 c dilation She had SROM at 0500 which showed light meconium
FGS Maternity Care and Delivery Slide15 plain - AAPC
Indications: 23 y/o G4P3 at 38 and 4/7 weeks admitted in labor She has been followed in the OB clinic with no complications She has been followed in the OB clinic with no complications Stage I: Patient was admitted with a cervical exam of 3/c/-1
Gravidity in Human Medicine
In human medicine, "gravidity" refers to the number of times a woman has been pregnant, regardless of whether the pregnancies were interrupted or resulted in a live birth. “Gravidity” is an important component of a patient’s reproductive history, as it provides insight into the risk factors that the patient has for pregnancy outcomes, such as risk ...
Gravidity in Biology
In biology, the term "gravid" (Latin: gravidus "burdened, heavy") is used to describe the condition of an animal (most commonly fish or reptiles) when carrying eggs internally. For example, Astatotilapia burtoni females can transform between reproductive states, one of which is gravid, and the other non-gravid. In entomology it describes a mated fe...
Parity in Medicine
In human medicine, parityis the number of pregnancies carried by a woman for at least 20 weeks (duration varies from region to region, 20 – 28 weeks, depending upon age of viability). If a woman carries the fetus to viable age, even if ultimately the fetus is born deceased, this still counts as an instance of parity, as parity is based on the time ...
Parity in Biology
In agriculture, parity in biology is a factor in productivity in domestic animals kept for milk production. Animals that have given birth once are described as "primiparous"; those that have given birth more than once are described as "pluriparous".Those that have given birth twice may also be described as "secondiparous", in which case "pluriparou...
Recording Systems
A number of systems are incorporated into a woman's obstetric history to record the number of past pregnancies and pregnancies carried to viable age. These include: 1. The gravida/para/abortus (GPA) system, or sometimes just gravida/para (GP), is one such shorthand.[citation needed] For example, the obstetric history of a woman who has had two preg...
Presented by Jodi McGraw, M.D.
Gravida (gravidity)= number of pregnancies
Para (parity)= number viable gestational age pregnanciesEg. G3P2 (third pregnancy & 2 deliveries)
G5P2 (1,1,3,2)=full term, preterm,
miscarriage or abortions, livingTrauma in OB, treat the Mom
O2, 2x large bore IV's, left lateral
position if able based on trauma.Treat the injuries
Medical documentation obtained at
Patient visits for patient record
-Due date -Menstrual history -Prior pregnancy history -Medical historySymptoms since LMP
genetic screeningInfection history
physical examAdditional notes for visit
Typical format for OB visit details
Labs & education at visits
Blood type
Infections
GBSLabs for 2
nd & 3 rd trimestersAnemia testing
Gestational diabetes screen
Rhogam if needed
Plans & education
19 yo G1P0 at 39 EGA, no local medical care, uncomplicated pregnancy, negative GBS at 36 weeks, no meds, NKDA, healthy
Contractions q3 min
Fluid leaking (?clear), but not bleeding
+fetal movementA few potential problems:
Edema60# weight gain
Elevated blood pressure, leg swelling,
Bleeding, abdominal pain, SOB
Remember PPE
Use a towel to dry/swaddle
baby, if neededThis is what our OB tray looks like
Basic EMS kit will have essentials
Record and document events as able
Most important times:
infant birth time placenta delivery timeElevated blood pressure and
Proteinuria
(edema not required)Worst complication is seizure/HELLP (hemolysis,
elevated LFT's, low platelets) In pregnancy, eclampsia seizures treated with Mg IVBenzodiazepines do not stop seizures in eclampsia
IV x 2, O2, can check reflexes
Cord dangling out of vagina or cervix
Compresses baby's lifeline
EMERGENCY! Notify ER!
Elevate pelvis and manually
Push infants head off the cord
Without compressing the cord
Emergent Cesarean! IV x 2, O2
Typically severe abdominal pain (not just with contractions)Bleeding extent may not be apparent
EMERGENCY!
Start O2, IV x 2, position
Pushing can be >2 hours in primiparous
Patient, but may be 1-2 hours in multiparous
May be precipitous
If preterm, expect precipitous & consider
Malpresentations- eg breech
Chin first does not deliver! Neck can not
hyperextendClamp x 2 & cut cord between clamps
Placenta may take ~1-20 minutes
3-4% of deliveries, injuries e.g. clavicle fractures more common
Prematurity is risk
Deliver spontaneous until umbilicus is at introitusThen, support trunk
Remove 1 arm at a time
Head most difficult:
Flex neck
HELLPER
H- call for extra Help
EL- elevate legs- McRobert's
P- suprapubic Pressure to
reduce the anterior shoulderEnter- rotational maneuvers
R- Reverse rotation
(consider hands to knees) 2 nd & 3 rd trimester bleeding: placenta previa uterine rupture placenta abruption vasa PreviaPostpartum hemorrhage- compress
O2, IV x 2, compression, position
Awesome!
Please feel welcome to participate and ask questionsGood history
Evaluate for complications
Shoulder dystocia
Bleeding/hemorrhage
DVTPre-eclampsia
deliveryWith Great Appreciation for all you do!
Questions?
Practice with mannequin?
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