OBGYN: The Vaginal Delivery (Pt 1)

OBGYN: The Vaginal Delivery (Pt 1)

Zack Olson, MD and Michael Estephan, MDZack Olson, MD and Michael Estephan, MD

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Deep Dive R27 MW
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Round 27 (MW) Geriatric Fever

You are working at Clerkship General when you hear an EMS call on the base command radio. “Clerkship General. We are bringing you a minimally responsive 79 year-old female found lying on the floor inside her apartment. ETA 5 minutes” Initial Vitals: HR: 143 BP: 160/105 Temp: 106. ...  Show more

 . 42min 17sec

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Before Your First: Vaginal Delivery
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Cardinal movements of labor: engagement, descent, flexion, internal rotation, extension, external rotation and expulsion Complete dilation, now station: Labor down vs push 2nd Stage of labor: Pushing Offer to help with maternal positioning—holding ankle/leg Delivery—downward trac ...  Show more

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Podcast 880: OB Delivery in the ED
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Contributor: Meghan Hurley MD

Educational Pearls:

Pearls about labor:

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Labor is split into 3 stages.

</li> <ul> <li dir="ltr ...  Show more

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Labor and Delivery Triage
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The OB One-Liner: “This is a _ yr old G_ P_ @_ wks GA here for ____.” Ex: This is a 34yo G3P2002 @ 38wks3days GA here for contractions Triage: 4 essential questions to ask every pregnant woman in triage Contractions, leaking fluid, vaginal bleeding, fetal movement What is labor? ...  Show more

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Postpartum Hemorrhage
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Causes (Four T’s): Tone: Atony Pitocin Misoprostol: CI-allergy, SI-transient hyperthermia Methergine: CI-HTN, SE-HTN Hemabate: CI-asthma. SE-diarrhea Tamponade: bakri/utah balloons Trauma: Lacerations Tissue: Retained POC (placenta or membranes) Thrombin: Coagulopathy   Other: In ...  Show more

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