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Chapter 21: Gynecologic Emergencies y=x x 2 x Vagina = outermost cavity of woman’s reproductive system (lower part of birth canal) Peritoneum Perineum Menarche: when women start menstruation θ=εφ Assume woman is going to Normal Changes in Pregnancy Respiratory changes: Diaphragm displaced by uterus; Respiratory capacity changes with increased respiratory rates and decreased minute volumes Cardiovascular changes Musculoskeletal changes Dilation of the cervix: Uterine contractions become more regular and last about 30-60 seconds Delivery of the infant Delivery of the placenta Para: number of children (live births) Gravida: number of pregnancies Crowning: Perineum will bulge significantly, and the top of the infant’s head will appear at the vaginal opening Once it starts, you stop transport and deliver it in ambulance Preeclampsia: Pregnancy-induced hypertension that can develop after the 30 th week of gestation; S/S: headache,

Chapter 21

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Chapter 21: Gynecologic Emergencies

Vagina = outermost cavity of womans reproductive system (lower part of birth canal)

Peritoneum Perineum

Menarche: when women start menstruation

Assume woman is going to

Normal Changes in PregnancyRespiratory changes: Diaphragm displaced by uterus; Respiratory capacity changes with increased respiratory rates and decreased minute volumesCardiovascular changes Musculoskeletal changes

Dilation of the cervix: Uterine contractions become more regular and last about 30-60 secondsDelivery of the infant Delivery of the placenta

Para: number of children (live births)Gravida: number of pregnanciesCrowning: Perineum will bulge significantly, and the top of the infants head will appear at the vaginal opening Once it starts, you stop transport and deliver it in ambulancePreeclampsia: Pregnancy-induced hypertension that can develop after the 30th week of gestation; S/S: headache, seeing spots, swelling in hands/feet (edema), anxiety, high blood pressure (similar to S/S of hypertension)Eclampsia: Seizure that occur as a result of hypertension (mom is not breathing baby is not breathing) Left lateral rapid transport + call for ALSAbruptio placenta: placenta separates prematurely from the wall of the uterusPlacenta previa: placenta develops over and covers the cervix