17 results
Precipitous Delivery and Postpartum Hemorrhage in the Emergency Department
 • Uncomplicated Delivery
 • Cephalic (head first)
Precipitous Delivery ... and Postpartum ... Uncomplicated Delivery ... #Emergency #obstetrics ... #obgyn #algorithm
Approximation of Fundal Height 

Gestational age - Fundal Height Landmark 
12 wks - Pubic symphysis 
20
symphysis 20 wks - Umbilicus ... w 36 - 32 cm Postpartum ... (<= 24 hrs) - Umbilicus ... Approximation #Obstetrics ... #Diagnosis #OBGyn
Criteria for diagnosis of PPCM - Peripartum Cardiomyopathy
1) LV EF <0.45
2) Meets the Framingham criteria for
5 months after delivery ... no alternative cause ... BrighamChiefs #postpartum ... Criteria #diagnosis #cardiology ... #obstetrics #obgyn
Causes of Post-Partum Fever - Differential Diagnosis Algorithm
6 W's for causes of PPF
 - Wind: pneumonia,
Causes of Post-Partum ... Algorithm 6 W's for causes ... Abscess/Hematoma #PostPartum ... Diagnosis #Algorithm #Causes ... #Obstetrics #OBGyn
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm
Blood Loss: >500mL post vaginal delivery OR >1000 mL
Causes of Post-Partum ... 500mL post vaginal delivery ... forceps/vacuum delivery ... Hemophilia A) #PostPartum ... #Obstetrics #OBGyn
Hypertension in Pregnancy - Classification

Elevation in blood pressure >140 mmHg systolic, or >90 mmHg diastolic.

1) Chronic
12 weeks after delivery ... up to 4 weeks postpartum ... #Definitions #Obstetrics ... #OBGyn
Emergency Baby Delivery - Equipment Checklist
 • Sterile gloves
 • Sterile scissors
 • 2 Clamps for
Emergency Baby Delivery ... • 2 Clamps for umbilical ... important) & blood #Delivery ... Emergency #management #obstetrics ... #obgyn #baby
Perimortem Hysterotomy Instructions

Do 4 minutes into arrest if uterus above the umbilicus

1. Manage Arrest
 • Compressions,
uterus above the umbilicus ... Deliver • Push ... team for NRP • Deliver ... consider reversible causes ... #Instructions #Obstetrics
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
* Responds to delivery ... child * Severe cases ... * Responds to delivery ... #HELLP #AFLP #Obstetrics ... #OBGyn #Hematology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
range: 18 wks - postpartum ... = nonspecific (nausea ... center • Prompt Delivery ... Pregnancy #hepatology #obstetrics ... #obgyn #diagnosis