PREGNANCY AND DELIVERY
Complications • Almost all complications of Preg are more likely w/ multi gestations • Discordance: One twin larger than the other; clinically signif when greater than 20%. Calculate discordance %…
Complications • Almost all complications of Preg are more likely w/ multi gestations • Discordance: One twin larger than the other; clinically signif when greater than 20%. Calculate discordance %…
• Review of current meds & allergies: Discuss holding NSAIDs, antiplatelet agents, anticoagulant supplements (eg, fish oil); consider bridging long-acting anticoagulants to shorter acting meds (eg, warfarin to heparin) •…
• Laparoscopic & prolonged gynecologic surgeries usually performed under GA Laparoscopic procedures require complete relaxation of abdominal wall (ie, paralysis) Std anesthesia techniques & precautions apply Many laparoscopic procedures require…
Figure 6.1 Tanner staging, female developmental stages PRECOCIOUS PUBERTY Definition (N Engl J Med 2008;358:2366) • Dev of breast or pubic hair >2.5 SD below mean age. Traditional definition <8…
Lichen Sclerosus Epidemiology • Prevalence unk (often asymptomatic, underreported) (Obstet Gynecol Surv 2012;67:55) • Bimodal distribution: Prepubertal & postmenopausal females, w/ a mean age btw the 5th & 6th decade…
>40 yo → greatest infertility. • Fecundity: Probability that a single menstrual cycle results in live birth History (Fertil Steril 2004;82:S169) • Gravidity, parity, Preg outcomes/assoc complications • Age at…