Obstetrics & Gynecology Mnemonics

Post-partum examination simplified checklist BUBBL!:

Breast
Uterus
Bowel
Bladder
Lochia
pisotomy
!urgical site (for Cesarean section)
"ardiotocogram #"$G% interpretation &r' "' Bra()&O
&efine *isk
"ontractions (in 10 mins)
Baseline *ate (should be 110-160)
(ariability (should be greater than 5)
)ccelerations
&ecelerations
Oerall (normal or not)
Postpartum collapse+ causes ,P)*-.!:
,emorrhage
clampsia
Pulmonary embolism
)mniotic fluid embolism
*egional anaethetic complications
-nfarction (!")
.eurogenic shock
!eptic shock
Multiple pregnancy complications ,-/ P)P):
,ydramnios (#oly)
-$%&
Preterm labour
)ntepartum haemorrhage
Pre-eclampsia
)bortion
Omental caking+ likeliest cause Omental ")king
' Oarian ")
( )*mental caking) is term for ascities+ plus a fi,ed upper abdominal
and pelic mass- .lmost always signifies oarian cancer-
-U&+ side effects P)-.!:
Period that is late
)bdominal cramps
-ncrease in body temperature
.oticeable aginal discharge
!potting
Labour+ preterm labor causes &-!)!:
&ehydration
-nfection
!e,
,ercise (strenuous)
)ctiities
!tress
nironmental factor (/ob+ etc)
Polycystic O0arian !yndrome #P"O!%+ first line treatment
0reat P"O! with O"P1s(oral contraceptie pills)-
)ntepartum hemorrhage #)P,%+ ma2or differential )P,:
)bruptio placentae
Placenta preia
,emorrhage from the %$ tract
Miscarriage+ recurrent miscarriage causes *-B")G:
*adiation
-mmune reaction
Bugs (infection)
"erical incompetence
)natomical anomaly (uterine septum etc-)
Genetic (aneuploidy+ balanced translocation etc-)
ndocrine
!houlder dystocia+ management ,LP*:
Call for ,elp
pisiotomy
Legs up 1!c&oberts position2
Pressure subrapubically 1not on fundus2
nter agina for shoulder rotation
*each for posterior shoulder and delier posterior shoulder3 *eturn
head into agina 14aanelli maneuer2 for C-section3 *upture claicle
or pubic symphisis
Labour+ factors 3hich determine rate and outcome of labour 5
#6s:
Power: stength of uterine contractions
Passage: si7e of the pelic inlet and outlet
Passenger: the fetus--is it big+ small+ hae anomalies+ alie or dead
)lpha-fetoprotein+ some ma2or causes for increased maternal
serum )4P during pregnancy $OL&:
$esticular tumours
Obituary (fetal death)
Lier: hepatomas
&efects (neural tube defects)
&ysfunctional uterine bleeding #&UB%+ 5 ma2or causes &UB:
&on6t oulate (anoulation: 809 of cases)
Unusual corpus leuteum actiity (prolonged or insufficient)
Birth control pills (since increases progesterone-estrogen ratio)
-UG*+ causes -UG*:
-nherited: chromosomal and genetic disorders
Uterus: placental insufficency
General: maternal malnutrition+ smoking
*ubella and other congenital infecton
arly cord clamping+ indications *)P-& "!:
*h incompatibility
)sphy,ia
Premature deliery
-nfections
&iabetic mother
"!(caesarian section) preiously+ so the funda is &.#": C;
Oral contracepti0es+ side effects "O.$*)"P$-(!:
"holestatic /aundice
Oedema (corneal)
.asal congestion
$hyroid dysfunction
*aised <#
)cne3 )lopecia3 )naemia
"erebroascular disease
leated blood sugar
Porphyria3 Pigmentation3 Pancreatitis
$hromboembolism
-ntracranial hypertension
(omiting (progesterone only)
rythema nodosum3 ,trapyramidal effects
!ensitiity to light
Pel0ic -nflammatory &isease #P-&%+ causes/ effects )#": "). be
P-"): ( Causes:
"hlamydia trachomatis
)ctinomycetes
.eisseria gonorrhoeae
( =ffects:
ctopic
Pregnancy
-nfertility
"hronic pain
*L6 pain+ brief female differential )-OU:
)ppendicitis3 )bscess
ctopic pregnancy3 ndometriosis
-nflammatory disease (pelic)3 -<:
Oarian cyst (rupture+ torsion)
Uteric colic3 Urinary stones
4orceps+ indications for deli0ery 4O*"P!:
4oetus alie
Os dilated
*uptured membrane
"eri, taken up
ngagement of head
Presentation suitable
!agittal suture in .# diameter of inlet
&eli0ery+ instrumental deli0ery prere7uisites ))BB""&&:
)nalgesia
)ntisepsis
Bowel empty
Bladder empty
"ephalic presentation
"onsent
&ilated ceri,
&isproportion (no C#:)
ngaged
pisiotomy
)PG)* score components !,-*$:
!kin color: blue or pink
,eart rate: below 100 or oer 100
-rritability (response to stimulation): none+ grimace or cry
*espirations: irregular or good
$one (muscle): some fle,ion or actie
!pontaneous abortion+ definition );pontaneous abortion) has
less than 89 letters 1it6s e,actly 18 letters2-
;pontaneous abortion is defined as deliery or loss of products of
conception at
less than 89weeks gestation-
4emale pel0is+ shapes G)P:
( "n order from most to least common:
Gynecoid
)ndroid 3)nthropoid
Platypelloid
Pel0ic -nflammatory &isease #P-&%+ complications - 4)"
P-&:
-nfertility
4it7->ugh-Curitis syndrome
)bscesses
"hronic pelic pain
ctopic pregnancy
Peritonitis
-ntestinal obstruction
&isseminated: sepsis+ endocarditis+ arthritis+ meninigitis
B-agonist tocolytic #":- or 3arning% )B"&:
)ngina (>eart disease)
B# high
"horioamnionitis
&iabetes
,cessie bleeding
!econdary amenorrhea+ causes !O)P:
!tress
OC#
)nore,ia
Pregnancy
Post-partum haemmorrage #PP,%+ risk factors P)*$UM:
Polyhydroamnios3 Prolonged labour3 Preious cesarian
)#>3 )?0>
*ecent bleeding history
$wins
Uterine fibroids
Multiparity
4etus+ cardinal mo0ements of fetus )&on6t 4orget
- n/oy *eally ,pensie @uipment):
&escent
4le,ion
-nteral rotation
,tension
*estitution
,ternal rotation
,pulsion
!exual response cycle ;PLO*:
;citement
PLateau
Orgasmic
*solution
Parity abbre0iations #ie+ G 5/ P 89<8% )$o Peace
)nd Loe):
$: of $erm pregnancies
P: of Premature births
): of )bortions (spontaneous or electie)
L: of Lie births
( :escribes the outcomes of the total number of pregnancies (%raida)-
Preeclampsia+ classic triad P*eclampsia:
Proteinuria
*ising blood pressure
dema
Oral contracepti0e complications+ 3arning signs )",!:
)bdominal pain
"hest pain
,eadache (seere)
ye (blurred ision)
!harp leg pain
)bdominal pain+ causes during pregnancy L)*) "*O4$:
Labour
)bruption of placenta
*upture (eg- ectopic3 uterus)
)bortion
"holestasis
*ectus sheath haematoma
Oarian tumour
4ibroids
$orsion of uterus
Post-partum haemorrhage #PP,%+ causes A 606s:
$issue (retained placenta)
$one (uterine atony)
$rauma (traumatic deliery+ episiotomy)
$hrombin (coagulation disorders+ :"C)
O0arian cancer+ risk factors )Blue 4-LM):
Breast cancer
4amily history
-nfertility
Low parity
Mumps
Prenatal care 7uestions )B"&:
)mniotic fluid leakageB
Bleeding aginallyB
"ontractionsB
&ysuriaB
demaB
4etal moementB
)sherman syndrome features )!,*M).:
)c@uired )nomaly
!econdary to !urgery
,ysterosalpingography confirms diagnosis
ndometrial damage3 ugonadotropic
*epeated uterine trauma
Missed Menses
)dhesions
.ormal estrogen and progesterone
(aginal p, Cagina has = labia and normal p> of agina
is about =-
Gestation period/ oocytes/ 0aginal p,/ menstrual cycle+ normal
numbers = is the normal p> of the agina-
=0 weeks is the normal gestation period-
=00 oocytes released between menarche and menopause-
=00+000 oocytes present at puberty-
8> days in a normal menstrual cycle-
8>0 days (from last normal menstrual period) in a normal gestation
period-
"(! and amniocentesis+ 3hen performed )Chorionic) has ?
letters and Chorionic illus sampling performed at ? weeks gestation-
).lphaDeto#rotein) has <@ letters and it6s measured at <@ weeks
gestation-
)lpha-fetoprotein+ causes for increased maternal serum )4P
during pregnancy )-ncreased Maternal !erum )lpha 4eto Protein):
-ntestinal obstruction
Multiple gestation3 Miscalculation of gestational age3 Myeloschisis
!pina bifida cystica
)nencephaly3 )bdominal wall defect
4etal death
Placental abruption