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Extra info for iSilo The Johns Hopkins Manual of Gynecology and Obstetrics

Sample text

For women at risk of preterm labor placenta or vasa previa or women with histories of previous pregnancy loss, avoidance of sexual activity may be recommended. I. Employment 1. Most patients are able to work throughout the entire pregnancy. 2. Heavy lifting and excessive physical activity should be avoided. 3. Modification of occupational activities is rarely needed, unless the job involves physical danger. 4. Patients should be counseled to discontinue an activity whenever they experience discomfort.

The stations above the spines are –1 for 1 cm above the spines to –5 at the level of the pelvic inlet. D. Standard admission procedures. For patients who have not received prenatal care, samples should be drawn for prenatal laboratory tests, including rapid plasma reagin, screening for hepatitis B virus and human immunodeficiency virus, determination of ABO blood group, antibody screening, urine culture and toxicology, screening for rubella IgG, and CBC. Patients with prenatal laboratory test results on record and an uncomplicated prenatal course require only urine testing (for protein and glucose), CBC, and drawing of a blood bank sample to be available for crossmatching if needed.

A. Acceleration phase. A gradual increase in dilation initiates the active phase (usually beginning at 3 to 4 cm of dilation) and leads to a period of rapid dilation. b. The phase of maximum slope is defined as the period of active labor when the rate of cervical dilation is maximal. Once established, this rate tends to be constant for each individual until the deceleration phase is reached. Primary dysfunctional labor is defined as an active-phase dilation at a rate less than the fifth percentile.

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