OBG Made Easy

Post-partum examination simplified checklist

BUBBLES:
Breast
Uterus
Bowel
Bladder
Lochia
Episotomy
Surgical site (for Cesarean section)



Ovarian cancer: risk factors

"Blue FILM":

Breast cancer
Family history
Infertility
Low parity
Mumps


Prenatal care questions

ABCDE:

Amniotic fluid leakage?
Bleeding vaginally?
Contractions?
Dysuria?
Edema?
Fetal movement?


Asherman syndrome features

ASHERMAN:

Acquired Anomaly
Secondary to Surgery
Hysterosalpingography confirms diagnosis
Endometrial damage/ Eugonadotropic
Repeated uterine trauma
Missed Menses
Adhesions
Normal estrogen and progesterone

Investigations ,PRENATAL DIAGNOSIS,timings

Uk-CAT
U............USG...............6-40WKS.
C...........CVS................9-12
A..........AMNIOCENTESIS..15-18
T............TRIPLE TEST.......16-18
Gestation period, oocytes, vaginal pH, menstrual cycle: normal numbers

4 is the normal pH of the vagina.
40 weeks is the normal gestation period.
400 oocytes released between menarche and menopause.
400,000 oocytes present at puberty.
28 days in a normal menstrual cycle.
280 days (from last normal menstrual period) in a normal gestation period.

CVS and amniocentesis: when performed

"Chorionic" has 9 letters and Chorionic villus sampling performed at 9 weeks gestation.
"AlphaFetoProtein" has 16 letters and it's measured at 16 weeks gestation.


Spontaneous abortion: definition

"Spontaneous abortion" has less than 20 letters [it's exactly 19 letters].
Spontaneous abortion is defined as delivery or loss of products of conception at less than 20 weeks gestation.

Pelvic Inflammatory Disease (PID): causes, effects

"PID CAN be EPIC":

· Causes:
Chlamydia trachomatis
Actinomycetes
Neisseria gonorrhoeae

· Effects:
Ectopic
Pregnancy
Infertility
Chronic pain


Pelvic Inflammatory Disease (PID): complications

I FACE PID:

Infertility
Fitz-Hugh-Curitis syndrome
Abscesses
Chronic pelvic pain
Ectopic pregnancy
Peritonitis
Intestinal obstruction
Disseminated: sepsis, endocarditis, arthritis, meninigitis.