September 28th Ob/Gyn Shadowing

Wow, so many visits to my small blog.
I was surprised by the number of visits and no comments. I guess my writing still does not elicit any response of readers.



But if you are regular, welcome and I hope my notes are helpful.




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Some terminologies

hemotypsis: hemo- blood + ptysis - act of spitting
nulliparous: nullus -not any + para>20 wks births; no pregnancy
Gravidity: gravis - heavy; # of times a woman has been pregnant

Some concepts

Gravida (# of pregnancy including current one)/Para (>20 wk births including viable and stillbirths)/Abortus (miscarriage or abortion)

• G5P1: pregnant 5X 1 birth
• G1P1: That of a woman who has had one pregnancy of twins with successful outcomes  

Fetal Non-Stress Test (NST)
- measures heart rate of fetus and its typically higher. Look for deceleration and acceleration. Deceleration means fetal head compression-- good indicator for whether c-section is required or not.

Why ASA and tylenol is ok for pregnant women but not advil? advil (Ibuprofen) has an effect on prostaglandin system. That is why it is not recommended - as with any anti-inflmmatory.


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Some facts

you can get acute tubular necrosis from prolonged surgery via hypoperfusion due to vasodilating anesthetic

Prolonged nulliparity is a risk factor for breast cancer (think too much hormone!)

no anti-inflammatory/antibiotics for pregnant woman