PROJECT TIMELINE bsd

1st tri: second tri (13-28): 3rd tri:

PUERPE
RIUM:
six week
PROM - deliver; HTN disorder - deliver period
following
glucose load (GCT); PROM - better if baby stays
*Vasa* praevia C/S delivery
Anatomy US
External cephalic rotation induce delivery
dating US, if 1st visit Rhogam & @ delivery or other "blood mixing"…

1st tri: Normally, tip, if in doubt =

deliver
bHCG x2 q48h
*
13 16-20 20 22 24 28-30 32 34 35 3
366 37 39 41

"fetal wastage" preterm term

+/- post-term

appointments q4-6wks appointment q2wks weakly appointments

fetal fibronectin produced induce delivery for elderly gravida & invitro
fertilazation & pregest DM
elective cerclage placed (h/o past miscarriage)
gestational DM; start leopold maneuver @ every visit; Gcx or Ucx to r/o GBS;
colostrum production; fundal height set at umbilicus upto 32wks: Magnesium sulfate is
"neuroprotection" repeat sc (RPR; GC/CT/HIV) if need; *placenta* praevia C/S; confirm
breach presentation; removal of elective cerclage; don’t FLY!

Column1 1st tri 2nd tri 3rd tri

usually the same as decreases. Decreaded

BP usually baseline
baseline svr

defintiv CVM
Amnio
e screen
NEURAL TUBE DEFECTS May be detected via quad screen between
15-19 weeks nuchal and/or
screen quad
PAppa and onwards
Pregestational DM in some circumstances at 34 weeks or later
17-α-hydroxyprogesterone caproate (Makena)from 16-20 wks GA till 9 wks+ = free cell Avoid supine
Avoid supine exercises
36 wks seems to reduce risk of preterm birth in women with prior dna exercises
history of preterm labor AND with a singleton CERVICAL
Normally, bHCG INSUFFICIENCY/INCOM
at 20wks first timers feel baby. Seasoned can feel at 16 gestation doubles every 48 PETENCY
hrs in 1st trimester - Most common cause of
6-8 weeks plus: Chadwicks and hagar 2nd trimester losses.

< 14wks = embryo; >14wks = fetus Fetal IgD, IgE, IgG

and IgM are
[2nd trimester is best
produced by
40% extra blood peeks at 32 wks time to perform surgery]
embryo by 12 wk
EGA
In 1st half of pregnancy, most of the increase in CO is due to
increased SV manual vacum
aspiration
In 2nd half of pregnancy, most of the increase in CO is due to (incomplete
increased HR • At this time, SV returns to non-pregnant levels abortion) can be childbirth
performed here as education class
Most breech presentations have elective Caesarean sections well, as opposed to
scheduled at 39 weeks GA sucion that is less
prefered
Corpus luteum supports continuation of pregnancy 8-10wks until Lower BP in 2nd
No or very few discuss
placenta is fully developed trimester causes an
oxytocin receptors true/false labor;
increased risk of
in 1st trimester ROM
twins deliver @37wks, triplets 33wks, quads @ 29wks syncope
hint: 4 week difference between Ectopic pregnancy
is the most common
cause of death in
the 1st tri