Prolapsed cord, Uterine rupture, Amniotic fluid embolism Perimortem Cesarean, Intimate Partner Viole

displacement of cord in front of presenting part

• visible cord
• palpable cord
• fetal bradycardia

• check FHT's at ROM and after nxt contraction
• D/C pit
• vaginal exam for palpable cord

• exert upward pressure on presenting part
• call for help
• knee chest position
• admin O2

*if protrudes vagina, place sterile moistened gauze over it

• abdominal pain/tenderness
• chest pain
• hypovolemic shock
• fetal distress
• absent FHTs
• cessation of UC's

• previous uterine incision
• blunt trauma
• intense labor contractions
• Intrauterine manipulation (forceps/IUPS)

• c section
• volume replacement
• O2

when amniotic fluid is drawn in to maternal circulation and is carried to the lungs causing obstruction and vasoconstriction

• abrupt respiratory distress
• heart failure
• circulatory collapse
• DIC

• ROM
• strong labor with tetanic contractions...causing high intrauterine pressure forcing amniotic fluid in to open uterine or cervical veins

• prevent tetanic contractions AROM
• no Jacuzzi after ROM

when a mom crashes during birth CPR is not initiated until 4 minutes after she has been down

• the inability to conceive after 1 year of regular intercourse (2-3x/week) without contraception.....OR
• any involuntary inability to conceive at the time desired

• CNS dysfunction from....
• drugs like antihypertensives
• psych disturbances
• chronic illnesses like DM

• from DM
• neuro surgery impairing nerves
• drugs-antihypertensives, psychotropic
• anatomic abnormalities
• alcohol
• illicit drugs

• Bag of Worms
• blocked ducts carry sperm to penis and changes temperature of ducts carrying the sperm

failure of ovaries to respond to the pituitary gland....complete or partial absence of the secondary sex chromosome

causing infertility (ovaries cant make eggs or female hormones) and endocrine issues

to have kids must adopt or have an egg donated

• growth hormone started at 2-5yo
• hormone replacement started at 12-15yo...and continued to prevent CAD and osteoporosis

sex linked male defect...they have an extra X chromosome....female characteristics

• Semen analysis is first...no sex for 3 days before
• need more than 1 specimen
• delivered to Dr. within 2 hrs

• Good hx and exam
• look ovulation prediction measurement
• pelvic US looking at organ structure, ovarian follicles and relase of ova
• Hysterosalpingography-xray of uterus and tubes with contrast
• Postcoital test to see how sperm reacts to cervical mucus

temperature starts to increase 14 days prior to period starting.

increase is 0.3-0.5 degrees

20s

one week after her start of period cuz it is less glandular, most comfortable

done every month

• 20's and 30's a part of a regular health exam <3 years
• 40's it should be done every year

abnormalities of breast

picture of the tissues in the breast, and areas closest to the chest wall.....which is hard to see on a mammogram

used for special higher risk populations....NO RADIATION in this test

once becomes sexually active or 21 yo or if have symptoms of a disorder like amenorrhea or STD

• Bethesda System
• WNL
• Squamous cells
• Glandular cells...adenocarcinoma

• evaluate further with colposcopy and biopsy
• treat with cryotherapy
• excise a part of the cervix
• rarely....hysterectomy