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OBSTETRICS AND GYNECOLOGY - Coggle Diagram
OBSTETRICS AND GYNECOLOGY
PRENATAL INFECTIONS
TESTS FOR PREGNANT PATIENTS
thường quy
test chì dùng cho BN c nguy cơ
Cn tuyến giáp
TB
Toxolasmosis
dien di HGB
lead....
VACCINES IN WOMEN OF CHILDBEARING POTENTIAL
Vaccine ko tim là: HPV/ MMR/ VArcia + cúm mà sông cón hoạt dộng
SYPHILIS
ành hưởng tới thai:
gan( gan to/ vàng da)
HH giàm tiểu cầu
uxo7ng khớp bất thường xương dài)
GROUP B STREPTOCOCCUS INFECTION (GBS)
RUBELLA
treat with IV immune globulin
PREGNANCY AND EXERCISE
HYPEREMESIS GRAVIDARUM
GESTATIONAL TROPHOBLASTIC DISEASE
MOLAR PREGNANCY
MALIGNANT GESTATIONAL TROPHOBLASTIC DISEASE
Invasive gestational trophoblastic neoplasia
Choriocarcinoma
highly metastatic
most commonly to lungs (chest pain, dyspnea, hemoptysis,
CXR shows multiple b/l infiltrates of various shapes)
Confirmation of diagnosis: quantitative β-hCG
SECOND TRIMESTER SCREENING
All pregnant women should have OGTT at
24-28 wks
—high risk pts (e.g. marked obesity, FH od DM) may
receive earlier
PRENATAL TESTING FOR FETAL ANEUPLOIDY
SECOND TRIMESTER QUADRUPLE SCREENING
MATERNAL SERUM α-FETOPROTEIN SCREENING
↑ MSAFP: +TK/ ruột
giảm MSAFP : 18,21
CELL-FREE FETAL DNA
ANTEPARTUM BLEEDING
nhau tiền đạo:
sa/ ko khám trực tiếp
PLACENTA PREVIA
smoking - 3st
Requires C. section at 36-37 wks (late preterm/ early term
vơ tử cung
dột ngột+ me sinh hiệu + con suy thai
vỡ ói
dọt ngột ra máu âm dạo +đau bụng+ co >5 cơn ( co rất nhiu)
mạch máu tiên đạo
chay mau1do vơ mnag2 ôi
Doppler USG
Bleeding in placenta previa is maternal in origin and in vasa previa, it is fetal in origin—hence the
reason for
rapid deterioration
of fetus
chuyển da bt
co8n gò 4+ vở ối + huuye61 hòng nhày nhớt
PLACENTA ACCRETA
UTERINE SURGICAL HISTORY AND VAGINAL BIRTH
bn có dường mỏ odc TC+ bất thường TC --> nên lu7ac chon mổ sớm
ABRUPTIO PLACENTAE
cocoain+ thuốc lá
chảy máu dột ngột + dau bụng+ tanng con gò
----> SA loia từ hau tiền đạo
CHORIOAMNIONITIS/INTRAAMNIOTIC INFECTION
sốt + ( NT> 100/ dau TC/ ói có mũ/ bc>15000)+ tim thai >160
ANTEPARTUM FETAL SURVEILLANCE
NON-STRESS TEST
BIOPHYSICAL PROFILE
CONTRACTION STRESS TEST
Oxytocin infusion or nipple stimulation sufficient to cause 3 contractions every 10 min and the effect
these contractions have on HR is noted.
ontraindications: same as contraindications to labor (e.g. placenta previa, prior myomectomy)
iNTRAPARTUM FETAL HEART RATE MONITORING
LATE DECELERATIONS
VARIABLE DECELERATIONS
EARLY DECELERATIONS
LABOR
ARRESTED LABOR
FALSE VS. LATENT LABOR
NORMAL LABOR
OXYTOCIN