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OB2 Obstetrics
Acronyms
Toronto Notes 2019
Acronyms
AC abdominal circumference
ACOG American Congress of Obstetricians
and Gynecologists AFI amniotic fluid index
AFLP acute fatty liver of pregnancy
AFV amniotic fluid volume
AP anteroposterior
APS antiphospholipid antibody syndrome β-hCG beta human chorionic gonadotropin BPP biophysical profile
FDP fibrin degradation products L/S FHR fetal heart rate LLDP FISH fluorescence in situ hybridization LMP
FL femur length MSAFP
FM fetal movement MSS
FPG fasting plasma glucose MTX FTS first trimester screen NIPT GA gestational age NST GBS Group B Streptococcus NTDs GDM gestational diabetes mellitus NTUS GTN gestational trophoblastic neoplasia OA
HC head circumference OGTT HELLP hemolysis, elevated liver enzymes, ONTD
low platelets OP IMM intramyometrial OT
IOL induction of labour PAPP-A IPS integrated prenatal screen PG
ITP idiopathic thrombocytopenic purpura PPD IUFD intrauterine fetal death PPH IUGR intrauterine growth restriction PPROM
intraventricular hemorrhage PROM
lecithin-sphingomyelin ratio left lateral decubitus position last menstrual period maternal serum α-fetoprotein maternal serum screen methotrexate
non-invasive prenatal testing non-stress test
neural tube defects
nuchal translucency ultrasound occiput anterior
oral glucose tolerance test
open neural tube defect
occiput posterior
occiput transverse pregnancy-associated plasma protein A plasma glucose
postpartum depression/day
postpartum hemorrhage
preterm premature rupture of membranes premature rupture of membranes
PTL preterm labour
QF-PCR quantitative fluorescence-polymerase
chain reaction
RDS respiratory distress syndrome ROM rupture of membranes
SFH symphysis fundal height SOGC Society of Obstetricians and
Gynaecologists of Canada SVD spontaneous vaginal delivery
TENS transcutaneous electrical nerve stimulation
TOLAC trial of labour after cesarean section T1 first trimester
T2 second trimester
T3 third trimester
TPN total parenteral nutrition
TTP thrombotic thrombocytopenic purpura U/S ultrasound
UTI urinary tract infection
VBAC vaginal birth after Cesarean
vWD von Willebrand disease
C/S Cesarean section
CPD cephalopelvic disproportion
CTG cardiotocography
CVS chorionic villus sampling
D&C dilatation and curettage
DIC disseminated intravascular coagulation
DVT deep vein thrombosis
ECV external cephalic version
EDC estimated date of confinement
EFM electronic fetal monitoring
EFW estimated fetal weight IVH
Basic Anatomy Review
FETAL CIRCULATION
Umbilical arteries (deoxygenated blood)
Umbilical vein (oxygenated blood)
Endometrial artery Endometrial vein
MATERNAL CIRCULATION Figure 1. Placental blood flow
Placenta
Placenta
Decidua (maternal)
Umbilical cord Amnion
Chorion (fetal)
• siteoffetalnutritive,respiratory,andexcretoryfunction
• discoidmasscomposedoffetal(chorionfrondosum)andmaternal(deciduabasalis)tissuesdividedby
fissures into cotyledons (lobules) on the uterine side
• produceshormonessuchasprogesterone,placentallactogen,estrogen,relaxin,β-hCG,andinfant
growth factors
• poorimplantationcanleadtospontaneousabortion
• abnormallocation,implantation,ordetachmentcanleadtoantepartumhemorrhage(seeObstetrical
Hemorrhage, OB13) Pregnancy
Diagnosis of Pregnancy
History
• symptoms:amenorrhea,nauseaand/orvomiting,breasttenderness,urinaryfrequency,andfatigue • obstetricalandgynecologicalhistory:year,location,modeofdelivery,durationoflabour,sex,
gestational age, birth weight, and complications of every pregnancy; organize into GTPAL format ■ Gravidity (G)
◆ G: total number of pregnancies of any gestation (multiple gestation=one pregnancy) ◆ includes current pregnancy, abortions, ectopic pregnancies, and hydatidiform moles
© Steven Bernstein 2009