OB GYN - October 2014 JI OB/GYN NEONATAL CARE 1 Joseph...

This preview shows page 1 - 10 out of 28 pages.

OB/GYN & N EONATAL C ARE Joseph Itzkowitz October 2014 JI 1
Image of page 1
CERVIX VAGINA BLADDER UTERUS OVARY FALLOPIAN TUBE URETHRA F EMALE I NTERNAL A NATOMY UTERINE (FALLOPIAN) TUBE OVARY UTERUS (Womb) CERVIX VAGINA October 2014 JI 2
Image of page 2
G YNECOLOGY Menarche : onset of menstruation, usually between 11 and 16 Menstruation : separation of endometrium (uterus lining) if no fertilization Menopause : end of ovulation cycles, usually around 50 years October 2014 3 JI
Image of page 3
G YNECOLOGICAL I NFECTIONS Pelvic inflammatory disease (PID ): infection of upper organs. Non-life threat, however, can lead to one (ectopic) Generalized lower abdominal pain Abnormal / foul smelling vaginal discharge Increased pain with intercourse Fever, nausea, vomiting, general malaise Sexually Transmitted Diseases (STD’s ): Chlamydia can spread to rectum, painful discharge Bacterial Vaginosis painful, itchiness, “fishy” smell Gonorrhea can spread to mouth from oral sex, go into blood stream, and spread to brain October 2014 JI 4
Image of page 4
G YNECOLOGICAL E MERGENCIES Vaginal bleed may be from any number of causes including trauma, and can be life- threatening. Sexual Assault (Rape ) will be a medical emergency as well as a psychological emergency Law Enforcement may be on scene Patient may “shut down”, option of female care giver Focus on: life-threatening injuries? physical pain? Maintain evidence: don’t cut clothes, paper bag all clothing, encourage patient to NOT clean themselves Limit physical exam to life-threatening injuries Crime scene, only go and touch what you must, etc. October 2014 JI 5
Image of page 5
O BSTETRICS Each cycle, one follicle matures and releases an egg (ovulation). The egg is released from the ovary and travels thru the fallopian tubes where it is fertilized (sperm meeting the egg). The fertilized egg continues to the uterus where it becomes an embryo and is implanted into the endometrium. The fetus (developing embryo) grows in the womb for approximately 40 weeks, at the end of which the baby is ready to be born. Breasts produce milk. October 2014 6 JI Side view of pregnant women, with typical cephalic ” position
Image of page 6
S TAGES OF L ABOR Stage One Begins with contractions Ends with dilation of cervix 8-12cm Stage Two From cervix dilation Until infant is born Stage Three From birth of infant Until delivery of placenta October 2014 7 JI
Image of page 7
F ETAL R ISK F ACTORS Antepartum Factors (before birth) Multiple gestation Inadequate prenatal care Mother’s age (<16 or >35) Previous miscarriages Post-term gestation Drugs / medications Toxemia, HTN, DM Intrapartum Factors (during birth) Premature labor Meconium stained fluid Ruptured membrane >24 hours prior to delivery Use of drugs within 4 hours Abnormal presentation Prolonged labor October 2014 8 JI
Image of page 8
L ABOR AND D ELIVERY False Labor or Braxton-Hicks Contractions “Water break” (amniotic fluid) will break Contractions increase with time, last 30-60
Image of page 9

Want to read all 28 pages?

Image of page 10

Want to read all 28 pages?

You've reached the end of your free preview.

Want to read all 28 pages?

  • Spring '17
  • Anatomy, RNA, heart rate, Uterus, Ji, special considerations

{[ snackBarMessage ]}

Get FREE access by uploading your study materials

Upload your study materials now and get free access to over 25 million documents.

Upload now for FREE access Or pay now for instant access
Christopher Reinemann
"Before using Course Hero my grade was at 78%. By the end of the semester my grade was at 90%. I could not have done it without all the class material I found."
— Christopher R., University of Rhode Island '15, Course Hero Intern

Ask a question for free

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern