Archive | OB/Gyn

Neonatal Resuscitation | Obstetrics

This section is being included on both the OB/GYN and Pediatric Categories. Neonatal Resuscitation Newborn = first few hours of life Neonate = first 28 days Infant > 28 days < 1 year About 6% of deliveries require some type of life support. Complications increase as birth weight goes down. 20x more likely to die. […]

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Labor and Delivery | Obstetrical Emergencies

Labor and Delivery First Stage: Dilation. Beginning of regular contractions to complete dilation of cervix to approx 10 cc. Averages 12.5 hours to 7 hours Second Stage: Expulsion. 10cc cervix to delivery of newborn. 80 min to 30 min If birth is imminent, do not transport. Place patient in a semi-reclining position on the firm, […]

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Obstetrical Emergencies | Complications

Complications: Diabetes: preexisting or gestational Ectopic pregnancy: can only tell by ultrasound Supine hypotensive syndrome: lay on the left side to avoid the uterus squashing the inferior vena cava Preeclampsia: hypertension and fluid retention. Mild 140/90, severe 160/110. Rise in 20/10. Puffiness, excessive weight gain, headache, protein in urine Eclampsia: seizures. ABC, O2, IV, valium […]

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Normal Pregnancy | Obstetrical Emergencies

Normal Pregnancy Full term – 280 days or 40 weeks LMP = last menstrual period Increased Respiratory depth and rate Total blood volume increases by 40-50% Resting heart rate increases 10-20 beats per minute Normal blood pressure drops 10-15 mm Hg EDC = expected date of confinement = due date of baby Three trimesters, each […]

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Obstetrical Emergencies

Delivery is a natural process. Normal and uncomplicated deliveries require an EMT to support the mother. Remember there are two patients. Anatomy: Ovaries: produce eggs, estrogen and progesterone Fallopian tubes: passageway between ovaries and uterus Uterus: hollow pear-shaped muscular organ where the fetus develops Cervix: inferior narrow neck of the uterus Vagina: birth canal Perineum: […]

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Specific Gynecological Emergencies

Specific Gynecological Emergencies Include: Pelvic Inflammatory Disease (PID): caused by bacteria. Signs and symptoms: fever, lower ab pain, discharge, dyspareunia, guarding. Can lead to sepsis, and infertility Ruptured Ovarian Cyst: follicles stimulated by hormones enlarge and can rupture> significant hemorrhage>hypotensive Ectopic Pregnancy: implantation of a fertilized egg outside of the uterus. 1 in 200. Consider […]

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Gynecological Emergencies

Gynecological Emergencies can include: Multiple types of chronic or acute infection Hemorrhage from uterus, fallopian tubes and ovaries Ectopic pregnancy Hormones rise and fall stimulating development of eggs in the ovaries. Menses occur approx. every 28 days. First day of menstruation is the first day of the cycle. Menarche: first cycle age 8-14 Menopause: anywhere […]

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