‘OBSTETRICS! GYNECOLOGY MNEMONICS Post-partum examination simplified checklist BUBBLES Breast Uteeus Bow Biacder Lochia Episotomy ‘Surgical ste (for Cesarean secton) Miscarriage: recurrent miscarriage causes RIBCAGE: Radiation lesmune reaction Bugs infecton) Cervical incompetence ‘Anatomical anomaty (uterine septum et.) GGonatc (aneuploidy, balanced translocation etc) Endocrine Forceps: indications for use FORCEPS: Fully dated corvic opzero"] CPD Ruptured membranes Cephalic oat east deverabie prosentation! Contracting wens Episiotomy done! Epidural done Piss and Silt (bladder and towel empty) ral contraceptives: sido effects CONTRACEPTIVES: Cholestatis auncice edema (comen} Nasal congeston Thyroid dysfunction Raised 8 ‘Acnel Alopecial Anaemia Cerebrovascular disease Elevates boos sugar Porpiya’ Pigmentation Pancreatitis ‘Thromboembelism Intracranial nypertension Vorniting (progesterone onty) Erythema nodosum’ Extapyramidal effects Sensitivity to ight Post-partum haemorrhage (PH): causes 47s: Tissue (cetained placenta} Tone (uteene atony) ‘Trauma (raumatc davery, episiotomy) Thrombin coagulation disorders, DIC). ‘ASHERMAN: ‘Acquired Anomaly Secondary to Surgery Hysterosalpingography confims dagnosis Endometial damage! Eugonadotonic, Ropeated uterine trauma Missed Menges ‘Achsions ‘Normal esrogen and progesterone CVS and amniocantesis: when performed "Chorionic has 9 letters and Chorcnc villus sampling performed at 9 weeks gestation, “AlphaFstoProten® has 16 letters and its measured at 16 weeks gestation ‘Shoulder dystocia: management HELPER: Call for Hip Episitomy Legs up [McRoberts positon} Preseure subrapubicaly [not on fundus} Enter vagina for shoulder rotation ‘Reach for posterior shoulder and deliver posterior shoulder/ Return head inte vagina Zavanelt maneuver for C-section! Rupture clavicle or pubic symphisis Oral contraceptive complications: warning signs ACHES: ‘Abgominal pain Ghest pain Headache (severe) yo (blurred vison) Sharp leg pain Alpha-otoprotein: causes for increased maternal serum AFP during pregnancy “Increased Matemal Serum Apa Foto Proton Inlestnal obstruction Multiple gestation’ Miscalcuaton of gestational aga Myeloschisis Spina bits eystica ‘Anancephaly/ Abdominal wall defect Fetal death Placental abruption Early cord clamping: indications, RAPID CS: Rh incompatibility Asphyia Premature delivery Infections Diabet mother CS (caesaran section) previously, go the funda is RAPID CS. Gestation period, oocytes, vaginal pH, menstrual cycle: normal numbers 4s the normat pH ofthe vagina 40 weoks Is the normal gastaon por. 400 cocytes oleased between menace and menopause, '400,000 oocytes present at puberty 28 days in a normal menstrual cyte. 280 days (fom lst normal menstrual period) ina normal gestation period. Multiple prognancy complicationsHi, PAPA: Hytearinios (Poly) luce rote labour ‘Antepartum haemorthage Proveclampsia Abortion Postpartum c lapse: causes, HEPARINS: Hemonthage Eclampsia Pulmonary embolism “Ammiote Fuld embolism Regional anaethetic complications Infaretion (i) Neurogenie shack Sopte snock Prenatal care questions Ancpe: ‘Amivotic fd leakage? Blog vaginally? Contractions? Dysutia? Edoma? Fetal movement? ‘Abdominal pain: causes during pregnancy LARA CROFT: Labour ‘brapton of placenta Rupture (e9. ectopic! uterus) Abortion Chovestasis Rectus sheath haematoma Overan tumour Fibroids Torsion of uterus Prooclampsia: classic triad PREeclampsia Proteinana Rising blood pressure Edema Forceps: indications for delivery FORCEPS: Footus ave 0s ciated Ruptured membrane Carvixtakan up Engagement of head resentation suitable Sagittal suture in AP diameter of inet Secondary amenorthea: causos SOAP: ‘Stress oce Anorexia Pregnancy Pelvic inflammatory Disease (PID): complications LFACE PID, Inrtity Fit-Hugh-Curtis syndrome Abscasees {Chron pelle pain Ectopic pregnancy Penioits Intestinal obstucton Dissominatod: sepsis, endacardis, arts, meningitis APGAR score components ‘SHIRT: ‘Skin color blue or pin Haart ate: Below 100 or over 100 Irrtabiity (response to stimulation) nene, grimace or ey Respiratons: regula or ood Tone (muscle): some flexion or active Fetus: cardinal movements of fetus “Dorit Forget Enjoy Realy Expensive Equipment’ Descent Flexion Interal rotation Extension Restiaton Extomal rotation Expusion GR: causes usr: Irritod: chromosomal and goneticcsorders Uterus: placenalinsutfcancy General maternal malnarion, smoking Rubella ang other congenial infeion Vaginal pH Vagina has 4 labia and nomal pH of vagina is about & Pelvic Inflammatory Disease (PID): causes, effects “PID CAN be EPIC" ‘Causes: (Chlamyeia vachomatis ‘Actinomycetes Neisseria gonorrhoeae Erect Ectopic Pregnancy Inferity Chronic pain Delivery: instrumental dlivery prerequisites‘AABECCDDEE, Analgesia ‘anisepsis Bowel erty Blasder empty Cephalic presentation Consent Dates carx Dispreportion (na CPO) Engaged Epsiotomy Dysfunctional uterine bleeding (DUB): 3 major causes Due. Dont ovulate (anowuaton: 80% of cases) ‘Unusual corpus lautoum activity (prolonged or insufficient) Birth contol pls (since increases progesterone:estogen ratio) ‘Spontaneous abortion: definition "Spontaneous aborton" has less than 20 letters [ts exactly 19 eters ‘Spontaneous abortion is Geinec as delivery or loss of products of conception a less than 20 weeks gestation, RLQ pain: bref fomalo differential AcIOU ‘Appendicitis Abscess Ectopic pregnancy! Endometosis Infiammatory disease (plvicy IBD Ovarian cyst (rupture, torsion) sore cole! Urinary iene ost-partum haemmorrage (PPH): risk factors PARTUM: Poiyfiycroamnios/ Prolonged labour Previous cesarian APHIANTH Recent bleeding history Twins Utorine Rxoids Mutparty mental CAking = Ovarian CA "Omental caking” is term for ascites, plus a fixed upper abdominal and pelvic mass. Almost atways signiies ovarian cancer, Parity abbroviations (le: G 3, P2012) "To Peace And Love’ of Tor pregnancies, eof Premature births 1: of Abortions (spontaneous or elective) Lot Lie bite Descrives the outcomes ofthe otal number af pregnancies (Gravis). 1D: side effects Pains: Period that itt ‘Abdominal cramps Increase in body temperature Noticeable vaginal discharge Spotting Aiphactetoprotein: some major causes for increased maternal serum ‘AFP during pregnancy ToLo: Tostutartunours ‘Obituary (etal death) ‘ver hepatomas: Detacis (neural tube detects) Polycystic Ovarian Syndrome (PCOS): first line treatment ‘Treat PCOS with OCP's (ora conraceptve pl). Female pelvis: shapes car: In order rom mos to least common: Gyrocod Androis /Anthropoid Patypelioid ‘B-agonisttocolytic (Cor warning) apcoe. ‘Angina (Heart disease) BP high ‘Choroamnioniis, Diabetes Excessive blesdng Sexual response cycle EXPLORE: EXattement Plateau Orgasmic Rezoluton Labour: preterm labor causes DISEASE, Dehycrtion Inteaton Sex Everise (strenuous) ‘Acti ‘Stress Environmental factor (0b, et) (Ovarian cancer risk factors "Blue FILM" Breast cancer Family history Intertiy Low party Mumps ‘Antepartum hemorthage (APH): major differential ApH Abrupto placentae Placonta previa Homarthage from the GU tact Labour: factors which dotermine rate and outcome of labourape Power: stength of uterina contactons Passage: sizo ofthe pec inlet and outlet Passenger the felus~isitbig, small, have anomalies, alve or dead