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HLTH 234 Section 5 -Postpartum
Midwifery terminology
54
Medical
Graduate
11/05/2007

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Term
Placenta
Definition
Afterbirth. Oval or discoid spongy structure in the uterus through which the fetus derives its nourishment
Term
Schultz mechanism
Definition
At the end of the third stage of labor, the placenta is expelled inverted, the fetal surfaces appearing first at the vulva
Term
Duncan mechanism
Definition
At the end of the third stage of labor, the placenta is expelled maternal side first. More bleeding than the Shultz.
Term
Brandt-Andrews maneuver
Definition
A method of delivering the membranes and placenta after their descent into the vagina. One hand lifts the contracted uterus away from the placenta, the other applies counter-tension on the cord. Has largely been replaced by controlled cord traction
Term
Hematoma
Definition
A swelling or mass of blood (usually clotted) confined to an organ, tissue, or space and caused by a break in a blood vessel
Term
Ecchymosis
Definition
Effusion of blood beneath the skin, causing discoloration; bruising
Term
Hemorrhage
Definition
Abnormal internal or external discharge of blood
Term
Hypovolemic shock
Definition
Shock which occurs following hemorrhage
Term
Orthostatic hypertension
Definition
A large decrease in blood pressure upon standing; may result in fainting
Term
Placenta increta
Definition
A placenta in which the chorionic villi extend further than contact with the myometrium and actually penetrate the uterine wall
Term
Placenta accreta
Definition
A placenta in which cotyledons have invaded the uterine musculature and, as a result of this, separation of the placenta is very difficult or impossible
Term
Placenta previa
Definition
Placenta which has implanted in the lower part of the uterine segment. Can block internal os
Term
Battledore placenta
Definition
Placenta in which the cord is attached to its margin and not the center
Term
Circumvallate placenta
Definition
Placenta encircled with a dense, raised, white nodular ring, the attached membranes being doubled back over the edge of the placenta
Term
Velamentous insertion of the cord
Definition
A placenta in which the umbilical cord vessels divide before reaching the placenta
Term
Couvelaire uterus
Definition
The appearance of the uterus in severe concealed abruptio placentae, where the high tension in the uterus forces blood between the fibers of the myometrium, giving it a deep purplish-blue bruised appearance
Term
Succenturiate placenta
Definition
Placenta that has a separate or accessory lobe joined to the main placenta by blood vessels. If it retained when the placenta is expelled, it could cause serious postpartum hemorrhage
Term
Uterine inversion
Definition
A condition in which the fundus of the uterus protrudes through the cervix, and in some cases, through the vaginal introitus
Term
Hemostasis
Definition
Arrest of bleeding or of circulation; stagnation of blood
Term
Puerperium
Definition
The period following childbirth during which the maternal uterus and other organs and structures are returning to the non-pregnant state. 6-8 weeks
Term
Involution
Definition
Returning to normal size after enlargement, i.e. the uterus after labor
Term
Lochia
Definition
The discharges from the uterus following childbirth or abortion, consisting of blood from the placental site, shreds of decidua, shed vaginal epithelia cells, and at first, debris from the uterus
Term
Lochia rubra
Definition
Largely fresh, then staler blood
Term
Lochia serosa
Definition
Pinkish. Contains fewer red and more white cells
Term
Lochia alba
Definition
Contains white blood cells and mucous
Term
Diuresis
Definition
Increased secretion of urine
Term
Diaphoresis
Definition
Profuse sweating
Term
Sitz bath
Definition
Bath to sit in with water above and covering the hips. The tub or fixture is usually shaped to allow the legs to be out of the water
Term
Lactation
Definition
The secretion of milk by breasts
Term
Lactogenesis
Definition
Onset of milk secretion
Term
Colostrum
Definition
The thin, yellow, milky fluid secreted by the breasts from 16 weeks of pregnancy and for 3 or 4 days after birth until lactation is initiated. High in protein, low in lactose. Important source of passive antibody
Term
Foremilk
Definition
The first milk expressed when an infant nurses. Fairly thin
Term
Hindmilk
Definition
Creamy, fatty milk which comes after foremilk, and helps an infant to grow and satisfy its hunger
Term
Football hold
Definition
The position during breastfeeding in which the baby's legs rest under the arm as the baby faces the mother, and nurses
Term
Engorgement
Definition
Painful accumulation of secretion in the breasts, often accompanied by lymphatic and venous stasis and edema at the onset of lactation
Term
Galactagogue
Definition
An agent which is said to increase the secretion of milk
Term
Prolactin
Definition
A hormone from the anterior lobe of the pituitary gland that stimulates and sustains milk production in postpartum women
Term
Lasinoh
Definition
A company which makes products which support breastfeeding. They are also cosponsors of the Breastfeeding Initiative, which seeks to raise money for breastfeeding advocacy
Term
Mastitis
Definition
Inflammation of the breast
Term
Marmet technique
Definition
A method of manually expressing breast milk
Term
Diastasis
Definition
In surgery, injury to a bone involving separation of an epiphysus. In cardiac physiology, the last part of diastole
Term
Baby Blues
Definition
Feelings of sadness, crying, anxiety, or irritability that can occur in the first few weeks after childbirth
Term
Postpartum depression
Definition
A depressive episode in women who have recently borne a child. Distinguished by its symptoms, duration and intensity
Term
Postpartum psychosis
Definition
Symptoms include loss of reality, hallucinations and or delusions, as well as suicidal or aggressive thoughts
Term
Late postpartum hemorrhage
Definition
Profuse bleeding that occurs between 24 hours and six weeks after childbirth. Typically one to two weeks postpartum
Term
Subinvolution
Definition
Incomplete or delayed return of the uterus to its non-pregnant size during the puerperium, usually due to retained products of conception and infection
Term
Contraception
Definition
The prevention of conception
Term
Cervical cap
Definition
Round cone-shaped latex rubber device which fits over the cervix and, because of suction created, fits snuggly but not tightly onto the cervicovaginal fornices
Term
Billing's method
Definition
A method of family planning. The woman and her partner are taught to recognize changes in the cervical mucous which occur 3 to 4 days before ovulation in order that they may avoid intercourse during that time
Term
Sympto-thermal method
Definition
A method of family planning which uses mucous observation and basal body temp, as well as other indicators of ovulation, such as the midcycle pain indicating a ruptured follicle, increase in libido and mood changes
Term
Rhythm method
Definition
The natural methods of family planning which include calculating the so-called "safe" period during which the woman is least likely to conceive, taking temperatures and observing the mucous discharge from the vagina
Term
Spermicidal
Definition
An agent that destroys spermatozoa. Often used as a cream or paste applied to vaginal or cervical caps
Term
Coitus
Definition
Sexual intercourse
Term
Myrtiform caruncles
Definition
Small elevations of the mucous membrane around the vaginal opening, being relics of the torn hymen
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