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Pregnancy Part 4 – TN2014/SOGC2013

9 In a patient with clinical evidence of complications in labour (e.g., abruption (see part 3), uterine rupture, shoulder dystocia, non-reassuring fetal monitoring (see part 3)): a) Diagnose the complication. b) Manage the complication appropriately. Shoulder Dystocia Anterior shoulder impaction against

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Pregnancy Part 3 – SOGC / TN2014

7 In a pregnant patient presenting with features of an antenatal complication (e.g., premature rupture of membranes, hypertension, bleeding): a) Establish the diagnosis. b) Manage the complication appropriately. Nausea and Vomiting 50-90% of pregnant women, often limited to T1, but may

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Pregnancy Part 2 – HTN – SOGC 2014

Ominous symptoms: RUQ pain, H/A, Visual disturbances Dx 1) Pre-existing (chronic) hypertension: HTN (>140/90) that develops either pre-pregnancy or at < 20+0 weeks’ gestation Essential HTN ↑ risk of gestational HTN, placenta abruption, IUGR, IUFD Performed during early pregnancy: (if not previously documented): serum

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Pregnancy Part 1 – SOGC 2014/ TN2014

Definitions: First Trimester = 0-12 wks          Second = 12-28 wks       Third = 28-40wks Term = 37-42 Active Labour: regular contractions result in cervical change / descent of the fetus (presenting part) Gravity = #

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