Obstetric Mnemonic

Obstetric Mnemonic
Oral contraceptive complications: warning signs ACHES:

Abdominal pain
Chest pain
Headache (severe)
Eye (blurred vision)
Sharp leg pain
Abdominal pain: causes during pregnancy LARA CROFT:

Labour
Abruption of placenta
Rupture (eg. ectopic/ uterus)
Abortion
Cholestasis
Rectus sheath haematoma
Ovarian tumour
Fibroids
Torsion of uterus
Post-partum haemorrhage (PPH): causes 4 'T's:

Tissue (retained placenta)
Tone (uterine atony)
Trauma (traumatic delivery, episiotomy)
Thrombin (coagulation disorders, DIC)
Prenatal care questions ABCDE:

Amniotic fluid leakage?
Bleeding vaginally?
Contractions?
Dysuria?
Edema?
Fetal movement?
Asherman syndrome features ASHERMAN:

Acquired Anomaly
Secondary to Surgery
Hysterosalpingography confirms diagnosis
Endometrial damage/ Eugonadotropic
Repeated uterine trauma
Missed Menses
Adhesions
Normal estrogen and progesterone
Gestation period, oocytes, vaginal pH, menstrual cycle: normal numbers 4 is the normal pH of the
vagina.
40 weeks is the normal gestation period.
400 oocytes released between menarche and menopause.
400,000 oocytes present at puberty.
28 days in a normal menstrual cycle.
280 days (from last normal menstrual period) in a normal gestation period.
CVS and amniocentesis: when performed "Chorionic" has 9 letters and Chorionic villus sampling
performed at 9 weeks gestation.
"AlphaFetoProtein" has 16 letters and it's measured at 16 weeks gestation.
Alpha-fetoprotein: causes for increased maternal serum AFP during pregnancy "Increased Maternal
Serum Alpha Feto Protein":
Intestinal obstruction
Multiple gestation/ Miscalculation of gestational age/ Myeloschisis
Spina bifida cystica
Anencephaly/ Abdominal wall defect
Fetal death
Placental abruption
Female pelvis: shapes GAP:

In order from most to least common:
Gynecoid
Android /Anthropoid
Platypelloid
Pelvic Inflammatory Disease (PID): complications I FACE PID:

Infertility
Fitz-Hugh-Curitis syndrome
Abscesses
Chronic pelvic pain
Ectopic pregnancy
Peritonitis
Intestinal obstruction
Disseminated: sepsis, endocarditis, arthritis, meninigitis
B-agonist tocolytic (C/I or warning) ABCDE:

Angina (Heart disease)
BP high
Chorioamnionitis
Diabetes
Excessive bleeding
Secondary amenorrhea: causes SOAP:

Stress
OCP
Anorexia
Pregnancy
Preeclampsia: classic triad PREeclampsia:

Proteinuria
Rising blood pressure
Edema
Alpha-fetoprotein: some major causes for increased maternal serum AFP during pregnancy TOLD:
Testicular tumours
Obituary (fetal death)
Liver: hepatomas
Defects (neural tube defects)
Dysfunctional uterine bleeding (DUB): 3 major causes DUB:

Don't ovulate (anovulation: 90% of cases)
Unusual corpus leuteum activity (prolonged or insufficient)
Birth control pills (since increases progesterone-estrogen ratio)
IUGR: causes IUGR:

Inherited: chromosomal and genetic disorders
Uterus: placental insufficency
General: maternal malnutrition, smoking
Rubella and other congenital infecton
Early cord clamping: indications RAPID CS:

Rh incompatibility
Asphyxia
Premature delivery
Infections
Diabetic mother
CS (caesarian section) previously, so the funda is RAPID CS
Oral contraceptives: side effects CONTRACEPTIVES:

Cholestatic jaundice
Oedema (corneal)
Nasal congestion
Thyroid dysfunction
Raised BP
Acne/ Alopecia/ Anaemia
Cerebrovascular disease
Elevated blood sugar
Porphyria/ Pigmentation/ Pancreatitis
Thromboembolism
Intracranial hypertension
Vomiting (progesterone only)
Erythema nodosum/ Extrapyramidal effects
Sensitivity to light
Forceps: indications for delivery FORCEPS:

Foetus alive
Os dilated
Ruptured membrane
Cervix taken up
Engagement of head
Presentation suitable
Sagittal suture in AP diameter of inlet
Delivery: instrumental delivery prerequisites AABBCCDDEE:

Analgesia
Antisepsis
Bowel empty
Bladder empty
Cephalic presentation
Consent
Dilated cervix
Disproportion (no CPD)
Engaged
Episiotomy
APGAR score components SHIRT:

Skin color: blue or pink
Heart rate: below 100 or over 100
Irritability (response to stimulation): none, grimace or cry
Respirations: irregular or good
Tone (muscle): some flexion or active
Postpartum collapse: causes HEPARINS:

Hemorrhage
Eclampsia
Pulmonary embolism
Amniotic fluid embolism
Regional anaethetic complications
Infarction (MI)
Neurogenic shock
Septic shock
Multiple pregnancy complications HI, PAPA:

Hydramnios (Poly)
IUGR
Preterm labour
Antepartum haemorrhage
Pre-eclampsia
Abortion
IUD: side effects PAINS:

Period that is late
Abdominal cramps
Increase in body temperature
Noticeable vaginal discharge
Spotting
Labour: preterm labor causes DISEASE:

Dehydration
Infection
Sex
Exercise (strenuous)
Activities
Stress
Environmental factor (job, etc)
Miscarriage: recurrent miscarriage causes RIBCAGE:

Radiation
Immune reaction
Bugs (infection)
Cervical incompetence
Anatomical anomaly (uterine septum etc.)
Genetic (aneuploidy, balanced translocation etc.)
Endocrine
Shoulder dystocia: management HELPER:

Call for Help
Episiotomy
Legs up [McRoberts position]

Pressure subrapubically [not on fundus]
Enter vagina for shoulder rotation
Reach for posterior shoulder and deliver posterior shoulder/ Return head into vagina [Zavanelli maneuver]
for C-section/ Rupture clavicle or pubic symphisis
Labour: factors which determine rate and outcome of labour 3 P's:

Power: stength of uterine contractions
Passage: size of the pelvic inlet and outlet
Passenger: the fetus--is it big, small, have anomalies, alive or dead
Post-partum examination simplified checklist BUBBLES:

Breast
Uterus
Bowel
Bladder
Lochia
Episotomy
Surgical site (for Cesarean section)

Obstetric Mnemonic

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Obstetric Mnemonic

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Obstetric Mnemonic

Oral contraceptive complications: warning signs ACHES:

Abdominal pain: causes during pregnancy LARA CROFT:

Post-partum haemorrhage (PPH): causes 4 'T's:

Prenatal care questions ABCDE:

Asherman syndrome features ASHERMAN:

Female pelvis: shapes GAP:

Pelvic Inflammatory Disease (PID): complications I FACE PID:

B-agonist tocolytic (C/I or warning) ABCDE:

Secondary amenorrhea: causes SOAP:

Preeclampsia: classic triad PREeclampsia:

Dysfunctional uterine bleeding (DUB): 3 major causes DUB:

IUGR: causes IUGR:

Early cord clamping: indications RAPID CS:

Oral contraceptives: side effects CONTRACEPTIVES:

Forceps: indications for delivery FORCEPS:

Delivery: instrumental delivery prerequisites AABBCCDDEE:

APGAR score components SHIRT:

Postpartum collapse: causes HEPARINS:

Multiple pregnancy complications HI, PAPA:

IUD: side effects PAINS:

Labour: preterm labor causes DISEASE:

Miscarriage: recurrent miscarriage causes RIBCAGE:

Shoulder dystocia: management HELPER:

Legs up [McRoberts position]

Labour: factors which determine rate and outcome of labour 3 P's:

Post-partum examination simplified checklist BUBBLES:

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