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OB TermsGravidaoNumber of pregnanciesParaoNumber of times given birth greater than 20 weeksNulligravidaoNever been pregnantPrimigravidaoFirst time pregnancyMultigravidaoMany pregnanciesNulliparaoNever given birth before 20 weeksPrimiparaoGiven birth one timeMultiparaoGiven birth two or more timesGrand multiparaoGiven birth five or more timesOB InfoLength of pregnancyo40 weeks or 280 daysoCalculated from the first day of last menstrual periodoEDC--estimated date of confinementTrimestersoFirst--0-12 weeksoSecond--13-27 weeksoThird-- 28-40o“Fourth”--first six weeks of postpartumAntepartumoUnit where mother needs to have some surveillanceoMother is not ready to deliver babyIntrapartumoMother is in laboroEnds when baby is deliveredPostpartumoDelivery to six weeksTerms Used in OBNeonataloBirth--one monthPretermoBaby born less than 34 weeksLate pretermoBaby born greater than 34 weeks, less than 37 weeksTermoBaby born at 40 weeksPost term
oBaby born at 42 weeksLevels of Medical ServicesLevel IoParma HospitalLevel IIoSouthwestLevel IIIoUHoFairviewoHillcrestLevel IVoMain Campus Cleveland Clinic: Special Delivery UnitLitigation and ProfessionalismIncreased litigation in obstetrics = increased liability insurance ratesStatute of limitations is 19 years for birth injuryHigh accountability for OB nursesPostpartumPhysiological Aspects of Postpartum Nursing CareoAssess for early signs of potential complicationsoProvide comfort and restore physiological functions affected by childbirthoHealth promotionoFamily educationUterusoInvolutionUterus returns to pre-pregnancy size, shape, and locationoOccurs through uterine contractionsoUsually takes 5--6 weeks for uterus to return to pre-pregnant size and weightoThe endometrium (lining of the uterus) is shed and a new lining is generatedoThe uterine fundus usually descends about 1 cm each day and by 10 days after birth, is no longer palpablePostpartum ChangesoAfter painsCaused by intermittent uterine contractions, similar to menstrual crampsoOccurs inMultiparasIf the uterus was overdistendedWomen who breastfeedoMild analgesicsTylenol or Motrin is givenoUterotonicsMedications are often given to help the uterus contractCervixoCervixRegains its muscle tone but never closes tightly as prepregnant stateoSometimes remains edematous a few weeks after deliveryoIf a constant trickle of blood persists, a laceration of the cervix may be the causeVagina
oVaginaDuring pregnancy and birth, the vagina undergoes a great deal of stretchingoEdematous after vaginal deliveryThe rugae reappear about three weeks postpartumoWithin 6--8 weeks, the vagina regains its pre-pregnancy form, but never returns to the size it was beforeo