• Safe and secure

  • Quick and easy

  • web-based solution

  • 24/7 Customer Service

Rate form

4.2 Statisfied

484 votes

The Steps of Customizing Ob Gyn Encounter Form Template on Mobile

Search for and design the perfect Ob Gyn Encounter Form Template in the CocoSign template library to autimate your workflow and Choose. If you are still wondering how to fill out Ob Gyn Encounter Form Template , you can check out the below key elements to start.

Note the signing area

Draw your signature

Click "done" to send the form

  1. First, you should note the right form and open it.
  2. Next, view the form and get the point the required details.
  3. Then, you can go ahead to fill out the info in the blank form.
  4. Select the check box if you meet the condition.
  5. Check the form once you fill out it.
  6. Place your esignature at the bottom.
  7. Choose the "Done" button to save the document.
  8. Download the form in Google Doc.
  9. Contact the support team to receive more info to your worries.

Choose CocoSign to simplify your workflow by filling in Ob Gyn Encounter Form Template and placing your esignature instantly with a well-drafted template.

Thousands of companies love CocoSign

Create this form in 5 minutes or less
Fill & Sign the Form

CocoSign's Tips About Customizing Ob Gyn Encounter Form Template

youtube video

How to leverage The Ob Gyn Encounter Form Template ?

[Music].what's up guys to another video today.we're gonna cover ob/gyn we're gonna do.a super cram session to try and cover as.much as we can in the time we have here.this is intended to be basically a last.minute overview to go over all the must.know points for your OB going for either.step 2 CK or for your shelf hopefully.this is helpful so let's start first.we're gonna cover obstetrics so.postpartum hemorrhage is to find us over.500 milliliters vaginal delivery of.bleeding or over 1 liter from c-section.and the most common cause is due to.uterine atony and that's from basically.when you're in labor your uterus is.contracting a lot and after delivery of.the baby the uterus is weak and then the.spiral arteries because of the decreased.tone of the uterus.it can't contract fast enough and the.contraction of the uterus actually.clamps the spiral arteries so when you.have basically a flaccid weak uterus.those spiral arteries are just open and.dilated and they're basically just.hemorrhaging and so the main thing I.want you to look for in a vignette is.when they say that the uterus is above.the umbilicus because that basically.means that it's foggy and big and when a.uterus contracts it gets smaller and it.should be below the level of umbilicus.so then the first step is to diagnose it.but then the next is to know what to do.and the first-line treatment for that is.uterine massage so you want to massage.the uterus and help get it to a smaller.size and then afterwards you can also.administer oxytocin if needed there's.another type of common cause of.postpartum hemorrhage and that is due to.retained placenta in a vignette usually.you'll notice that they'll talk about.the placenta coming out that it may have.looked like an incomplete placenta and.it doesn't.you know clean and so they might talk.about on ultrasound that you see and.uneven endometrial lining so that.unevenness is basically describing that.there's retained placenta in the uterus.which is causing that uneven lining and.then what you want to do as a D&C to.remove that retained placenta if it's.not uterine atony or retained placenta.and another common one is lacerations.and so usually in a laceration vignette.there will be it's associated with.forceps delivery so when you put the.instrument up the vagina or cervix it's.at risk for laceration of course in that.vignette then the uterus will be below.the umbilicus and then ultrasound will.show even endometrial lining so that.kind of rules everything out so and if.there's forceps involved in its most.likely laceration and then to treat that.you would do a pelvic examination and.inspects for the laceration and then.suture it closed so then what I wanted.to talk about next is active phase of.delivery so you know you have your.latent phase which is from 0 to 6.centimeters cervical dilation and then 6.centimeters on to 10 centimeters that is.called active phase why that's important.is because you need to know a term.called.arrest of active phase so that's defined.as four hours of adequate contractions.or six hours of inadequate contractions.so then you need to know what is.adequate contractions so adequate.contractions is loosely every two to.three minutes you have contractions or.if you want a precise definition it's.greater than 200 Montevideo units in ten.minutes so a Montevideo unit is.basically the sum of the uterus pressure.changes above baseline with each.contraction in ten minutes so if that.adds up to over 200 then you have.adequate contraction the cervix is no.longer dilated.that's called arrest of active phase and.then you want to do a c-section after.ten centimeters when you have maximum.dilatation of the cervix to delivery if.that takes longer than three hours.that's called arrest of descent and.usually the number one cause of that is.due to cephalo pelvic just proportion.which basically means that the baby's.head is too big to fit through mom's.pelvis and you want to treat that with a.c-section so uterus rupture the vignette.will usually talk about how mom was in.labor all of a sudden she had intense.pain and the baby's head was originally.at say zero station and now it's at the.minus three station that's basically.pathognomonic for uterine rupture and.usually they'll also describe that it's.difficult to palpate to find where the.baby is in the uterus because the baby.has most likely um is now slipped out of.the uterus and in the peritoneal cavity.so when that happens obviously you want.to go into a c-section obviously you.want to do a laparotomy and then take.the baby out and then elapsed cord which.is basically the umbilical cord has.prolapsed through the cervix and.obviously since the umbilical cord is in.the way of the path of descent it's too.dangerous to deliver vaginally so you.want to deliver through c-section so.when we talk about fetal tachycardia.so basically heart rate that's normal.for a fetus is between 110 to 160.so anything faster than that what do you.think would be the cause of death so.fetal tachycardia the causes are.generally maternal fever so if the.baby's heart rate is over you know 170.you shouldn't suspect an maternal fever.common causes of mature.fever would be infectious causes right.so like like pyelonephritis.chorioamnionitis or endometritis which.I'll talk about later so taxi systole is.defined as 5 plus uterine contractions.every 10 minutes so this is too much.contractions and this can cause fetal.bradycardia which isn't good for the.baby and so you want to treat this with.the toe coletek and the first line.tocolytics is terbutaline which is the.beta-2 agonist don't forget at.tocolytics their number-one adverse.effect is almond area edema so beta.thalassemia what would be a marker that.would help you distinguish beta.thalassemia from other microcytic.anemias it has elevated hemoglobin a2 so.that's a sign to look out for it so.remember that there's certain changes.that happen with pregnancy that are.normal and so usually mom will have.elevated cardiac output elevated GFR and.because of the elevated GFR she'll also.have glucose area which is perfectly.normal.she'll also have metabolic alkalosis.which is expected to be normal too.because she has to breathe for two.people she'll have increased tidal.volume and this will cause her to expire.pco2 more so her pco2 is usually lower.than average if it's above 40 that's.usually not a normal sign so if you see.alkalosis and a pregnant woman don't.panic it's pretty physiologic also.remember that basically when mom is.pregnant she has increased plasma volume.2 and this dilutes the red blood cells.and that's physiologic anemia of.pregnancy so it's expected for moms who.have anemia during pregnancy as well.shoulder dystocia is basically when the.anterior shoulder gets stuck behind.Mom's pubic bone and the shoulder kind.of gets locked in place so the first.thing you want to do.before you concede to the diagnosis of.arrest of descent where it's impossible.to get the baby out definitely is you.want to try something called the.McRoberts maneuver which is hyper.flexion of the hips and this should.hopefully pop the shoulder out and.that's the first thing you want to do.so remember prenatal risk factors for.shoulder dystocia for a mom as if she's.had a prior episode of shoulder dystocia.if the baby's macro Soumik and usually.macrosomia is caused by gestational.diabetes and remember just a tional.diabetes there's a difference between.that and pre gestational diabetes which.is the presence of diabetes before week.20 is called pre gestational diabetes.and after week 20 diagnosis as.gestational and they're different.because they have different.complications associated with them pre.gestational diabetes is much more.dangerous it associated with congenital.malformations and cardiac defects.whereas gestational diabetes is more.associated with on preterm labor.macrosomia shoulder dystocia etc.remember with shoulder dystocia if you.are able to deliver vaginally than some.complications you could expect our Erbs.palsy a clavicular fracture and.sometimes hypoxia or death if the baby.comes out and a few days after it's born.and it's presenting with the classic or.palsy presentation which has a hyper.which is basically an arm that's.internally rotated with the wrist flexed.and elbow extended this is a Erbs palsy.the parents will usually ask what to do.about it and the correct answer is.usually reassure because it tends to.self resolved and the same of the.clavicular fracture there will usually.be you know crepitus over the clavicle.and then.there too is to reassure because it will.heal on its own so an important concept.to know is fetal bradycardia how that.arises and there's multiple mechanisms.but one of them is maternal hypotension.so hypotension so if mom is hypotensive.then she will have reflux.vasoconstriction of her spiral arteries.which are the arteries that are attached.to her uterus but this also belongs to.her circulatory system so when you have.vasoconstriction of these spiral.arteries that's an attempt to increase.total peripheral resistance for moms.circulatory system in order to get her.blood pressure up however when this.happens this also causes.vasoconstriction of the fetal.circulation and that increases the fetal.total peripheral resistance big-time as.well so this results in reflex fetal.bradycardia.so then applying that concept anything.that causes vasoconstriction of the.spiral arteries can cause fetal.bradycardia.so uterine atony is one of them why.because it causes vasoconstriction of.the spiral arteries another one is cord.compression cord compression basically.clamps down the umbilical artery and.that increases TPR as well which needs.to reflex bradycardia another important.thing to know is fetal heart rate.accelerations this is something that we.use in non stress tests which is when.you are measuring the fetal heart rate.over a 20-minute period to see how many.times the baby will have accelerations.so adequate accelerations is the rule of.15 and.teen two-and-twenty so 15 increase heart.rate by 15 for 15 seconds.that's one acceleration and if you see.two of those in 20 minutes then that is.a good sign so if you see two of those.it means there's good oxygenation for.the baby and that's a reassuring.non-stress test you do a non-stress test.when mom notices decreased movement in.the baby.also if the non-stress test is basically.equivocal or non conclusive which means.in that twenty minutes you did not see.reassuring fetal heart rate.accelerations then you move on to.something called a biophysical profile.and that basically is a more extensive.version of the non-stressed test which.includes breathing amniotic fluid.measurements tone movements of the baby.and the non-stressed test and it gets a.square out of ten but basically if the.score is less than four then you want to.deliver right away so we were talking.about causes common causes of maternal.infection one of them is endometritis.and this is basically inflammation of.the endometrium we can also call it endo.Myo metritis which is inflammation of.the endometrium and myometrium usually.this is caused from ascending infection.or it's also commonly associated with.c-sections which is suspected due to.contamination and the signs will be.tender uterine fundus a fever and.foul-smelling lochia and so lochia is.postpartum discharge of the blood mucus.and tissue.so when you see endometritis you want to.treat that first line with clindamycin.and gentamicin another common maternal.infection.something called chorioamnionitis which.is caused by ascending infection and.it's commonly associated with prolonged.rupture of the membranes prolonged.rupture of the membranes means that that.there's been 18 hours that have elapsed.since the water has broken and if mom is.still in labor for over 18 hours she's.at risk for an infection how you want to.treat that is by ampicillin and.gentamicin.so if you see nuchal translucency on a.chance vaginal ultrasound that's a sign.of Down syndrome or trisomy 18 if you.see something that's described as.greater than 2 to 2.5 multiples of the.median that's equivalent to saying that.there's a neural tube defect elevated.AFP is usually I think about things that.are associated with like an incompetent.body wall in the fetus it could be.either gastroschisis omphalocele which.is basically abdominal wall defects or.neural tube defects and deep through.these defects AFP leaks out another.common one that can cause elevated AFP.which is actually the most common cause.is underestimation of age so you'll see.an AFP much higher than it should be.that's because the baby is actually.older you think the baby might be 10.weeks for example but in reality it's 13.weeks old so it's making more AFP and.you would expect remember as common.buzzwords associate of town syndrome.would be second nuchal fold nuchal.translucency and remember the echogenic.bowel which is caused by duodenal.atresia where you'll see the double.bubble sign which is a very common.association with Down syndrome so yeah.most common abnormal triple scream is.wrong dating so twins have complications.as well and they have a higher rate of.term delivery congenital malformations.preeclampsia and postpartum hemorrhage.clomiphene is a drug that's used to.induce ovulation and it promotes.maturation of multiple follicles leading.to multiple eggs being released and it's.used in PCOS polycystic ovarian syndrome.how coma fein works is adds up estrogen.receptor antagonist at the level of the.hypothalamus so what this does it.basically blocks the negative feedback.so it tricks the brain into thinking.that there's not enough estrogen in the.UM being made by the ovaries so this.stimulates the hypothalamus to release.more GnRH LH FSH to make more estrogen.and by doing this this promotes.ovulation then there's the.kleihauer-betke test remember that this.is a test that's used before.administering rhogam rhogam is basically.the antibodies that prevent.sensitization versus the ROE antigens.found on the fetus in a row negative mom.a mom who has for example blood type a.negative that negative denotes that she.has no rh antigens on her blood and as.you remember from your step one.knowledge and your basic sciences.knowledge that whatever you're missing.on your own blood you create antibodies.for what you don't have so if you're a.blood type o which means you don't have.a you don't have B and if your minus.means you don't have Rh then you'll have.antibodies against a B and Rh so if a.mama is Rh - she will have RH antibodies.that are IgM they would only switch to.IgG if she happens to see antigens that.are found in her circulation so a lot of.times in maternal fetal hemorrhage so.like.placental abruption anything that can.cause the fetal circulation to mix with.mom circulation that means the fetuses.red blood cells will enter mom.circulation which means that the baby.red blood cells have Rh positive on it.for example the baby might have gotten.it from the Rh positive father right if.the dad was Rh negative then the there's.no way the baby would have had Rh.positive one of the parents has to have.it so if the moms IgM antibodies see.that Roe antigen on the fetal red blood.so it will type switch to IgG and that.means for the second pregnancy it'll.automatically cross the placenta and.destroy any red blood cells that may.have roll positive antigen on the fetal.red blood cells which means the second.the younger brother or the younger.sister will end up with polyhydramnios.due to like massive destruction of the.fetal red blood cells so my point is the.kleihauer-betke test you take the sample.of mom's blood and you look at under a.slide and they put a substance on the.plate which basically tells you what.percentage it eliminates mom's blood it.dissolves it but basically it tells you.what percentage of that blood sample has.fetal red blood cells if it's like 50/50.then you give a certain dose of rhogam.if it's like only 10% fetal red blood.cells then you give a lower dose of bro.gamma and row gammas antibodies that.will take out the fetal red blood cells.in order to hide it from Mom's.pre-existing antibodies so then she.doesn't have sensitization so next is.preeclampsia preeclampsia is defined as.hypertension with proteinuria.so you have to have proteinuria and how.do you define proteinuria that's a.protein to.at one ratio of greater than 0.3 or.greater than 300 milligrams of protein.per day if you have that plus.hypertension which is one over 140 over.90 this is defined as preeclampsia.preeclampsia is dangerous.because it is associated with a lot of.complications such as preterm delivery.placental abruption fetal hypoxia etc.but it's also dangerous for the mom in.that she can have a lot of complications.because she's urinating out so much.protein she's prone to getting edema.from third spacing due to decreased.intravascular oncotic pressure and she.can get pulmonary edema etc and so also.the most feared complication as the.progression of preeclampsia to.preeclampsia with severe features to the.most feared one which is a clamp SIA and.a clamp SIA is basically just.preeclampsia which now has gotten so.severe that it's caused seizures and.that's called eclampsia preeclampsia.with severe features is defined as.preeclampsia where the blood pressure is.over 160 over 110 or with evidence of.end organ damage whether it's a kidney.damage like a cute kidney injury or.elevated liver enzymes or encephalopathy.so first-line treatment for pulmonary.edema would be furiosa mite which is a.loop diuretic another thing is a mom who.has herpes simplex virus you want to.give her a psych levere leading up to.delivery and if she's adherent to the.acyclovir then she can deliver vaginally.if there are no new genital lesions.however if she's experiencing prodrome.such as like itchiness or pain or new.genital lesions or.then she should do a c-section.next is chancroid which is caused by.Hema Phyllis Duke reaiiy and remember.this is action this is the one of the.few genital ulcers that are painful the.other one would be herpes and so shank.roid will be described as having ragged.edges on necrotic base and on histology.it has the school of fish description.and then you want to treat it with.ceftriaxone and as a throw Meissen.versus a chancre which is a painless.ulcer which has a smooth hard border and.this is caused by syphilis and you want.to treat that with intramuscular.penicillin and remember it can advance.to the second stage which has the.condyloma Lata with the palmer ash and.it can also advance to the tertiary.stage which causes neurosyphilis tabes.dorsalis cephalic a or Titus and Saif.Titus etc and those ones you want to.treat that with longer IV penicillin.so risk factors for placental abruption.are trauma previous abruption.hypertension cocaine polyhydramnios.because I just think of it as the the.amniotic sac is so heavy that it can.cause detachment and then cigarette use.and you know if you think about it like.cocaine hypertension cigarette use these.are all associated with decreased.arteriolar diameter and that can cause.poor blood flow to the placenta which.makes it weaker which can cause it to.detach and abruption is one of the types.of third trimester leading remember that.it's very painful the mom will have.abdominal pain a lot of uterine.contractions and it's an vaginal.bleeding but this is painful.compared to placenta previa which is.painless bleeding and that's caused by.the abnormal position.the placenta covering the cervical Oz.when you do a c-section you're now at an.increased risk for placenta previa.because of that scar tissue it makes it.so that the human body is very smart.it'll notice that that scar tissue is a.bad site for plantation due to like the.uneven surface so that causes mom to be.increased for having placenta previa.also it increases the risk once you have.placenta previa you're also at increased.risk for something called.placenta in Crito placenta accreta.placenta percreta placenta accreta.is the shallowest form where your.placenta basically attaches to the.beginning of the myometrium listen to.accreta it goes into the myometrium and.then placenta percreta goes all the way.through the uterus and sometimes it.might even start invading the bladder.and then this can cause hematuria.if mom has any of these cases of.placenta accreta percreta in Krita which.basically means that the placenta is.fused to the endometrium then the only.option is to do c-section at delivery.because that placenta more detach and.it'll cause massive postpartum.hemorrhage next is the big three.cutaneous manifestations of pregnancy.the first is intrahepatic cholestasis of.pregnancy this is characterized by.really severe itching at night.especially on the palms and soles there.will be elevated liver enzymes due to.liver damage but the key here is.elevated systemic bile acid levels these.bile acids or bile salts will deposit on.the skin which causes severe pruritus so.remember it's very itchy elevated bile.salts elevated lfts and you want to.treat this with Urso dial which.basically lowers serum bile acid levels.next is pup which is paretic Dudek.aerial acts.papules of pregnancy mama when she is.pregnant will develop stretch marks over.her abdomen but these stretch marks will.actually start to get really itchy.she'll also develop plaques and papules.and of like an eczema like dermatitis.type of presentation over these striae.and then it's very very itchy but it's.benign and you treat it with steroids.next is herpes just de chillon us which.is basically like bullous pemphigoid of.pregnancy if you remember you know like.pemphigus vulgaris and bullous.pemphigoid bullous pemphigoid is when.you have the antibodies the IgG that.attacks the Hemi desmosomes which are.intermediate filaments that anchor cells.to the basement membrane you get.antibodies attacking that and then she.met with this is corticosteroids and its.presence with you know vesicles on the.abdomen and extremities next is a cute.fatty liver of pregnancy when you hear.this remember this is an emergency the.baby is at an immediate high risk of.death and you want to deliver right away.so how do you define this main thing is.like nausea and vomiting.hypoglycemia elevated liver enzymes this.is caused by mitochondrial dysfunction.of breaking down fatty acids and yeah.you want to deliver this baby.immediately remember that pregnant women.are at increased risk of DVT via.compression of the IVC which leads to.stasis and also due to the increased.systemic estrogen which puts you in a.hypercoagulable state and then if mom.develops symptoms of a DVT which is you.know one leg bigger than the other that.is in a lot of pain you wanna do a.venous duplex what what's dangerous is.that a DVT can lead to a pulmonary.embolism a PE and the main things you.want to look for in a PE is abrupt onset.of dyspnea tachycardia and tachypnea.with the low pulse ox or low pao2.if you have that then it's most likely a.PE and remember Ana pregnant.you don't want to do a CT angio because.the radiation is toxic to the baby so.you want to do a VQ scan also to treat a.PE you start with heparin or you can.treat with rivaroxaban amniotic fluid.embolism is another complication of.delivery and this is when the amniotic.fluid gets into the maternal bloodstream.through delivery and this is basically.presents like a PE - but it causes.confusion and then rash on the chest and.its associated with c-section and.abruption.and then treatment for this is mainly.just supportive and then remember that.amniotic fluid embolism can cause di C.anytime someone with preeclampsia has.severe features or has progressed to.eclampsia then you want to remember two.things.you give magnesium and you deliver right.away and why do you give magnesium.that's because it prevents seizures and.if they have a clamp SIA they already.have seizures so you give magnesium as.well but sometimes you have to monitor.because it's easier to have toxic.magnesium levels so they tend to ask you.what is the first sign of magnesium.toxicity and that's usually hyporeflexia.and that's the first line so yeah di c.is associated with abruption.preeclampsia and amniotic fluid embolism.so there's three drugs you can give.leading up to term and remember term as.described as a start of week 37 the.start of week 42 is considered a term it.fits before week 32 you want to give.magnesium because this helps development.of the nervous system of the fetus and.it helps prevent cerebral palsy you give.magnesium all the way up to week 32.after that you don't need to give.magnesium anymore the next thing you.want to think about giving for preterm.deliveries is tocolytics so tocolytics.can be used up to week 34 common.tocolytics would be like.butylene indomethacin and you want to.give this up to week 34 to help delay.delivery so the baby can mature more and.then the last one is betamethasone which.is a steroid and you can give this up to.week 37 and the reason why you want to.give steroids up to week 37 is to help.promote lung maturity yeah so steroids.have been proven to minimize the chance.of respiratory distress syndrome so if.it's week 32 you want to give magnesium.tocolytics and steroids at week 34.tocolytics and steroids up to week 37.you give just steroids after that you.don't need to supplement so neonatal.infections remember the big three.bacteria that are associated with.infections in babies less than three.months old and that's Group B Strep.eagle-eye and Listeria so that spells up.l ee l and those are the three kind of.neonatal infections which are so she'd.of like meningitis another mechanism I.want to talk about is preterm premature.rupture of the membranes so with preterm.premature rupture of the membranes.you'll have leakage of amniotic fluid.which leads to a logo hi jam nose when.you have a Lego hi jam nose.this basically means that the baby is no.longer floating in like a low gravity.environment and its weight can compress.the umbilical cord when this compresses.it can cause recurrent variable.decelerations.which is what you'll see on the fetal.heart rate tracing where the heart rate.of the baby dips down really quick and.then comes back up really quickly.because the normal deceleration is.usually the head compression one is when.you have the uterus contracting and then.the heart rate will come down and up.gradually as a mirror image hypoxia is.the second one where it will go down.gradually and come back up but it's late.it's always late after the uterine.contraction and then the.last one is recurrent variable.decelerations which is random dips and.heart rate that come back up very.quickly it's not gradual it's very.sudden and this is a sign of cord.compression so if you see the recurrent.variable decelerations.you should think that there's a cord.compression and what you want to do is.reposition the mom so that she doesn't.so that the baby isn't squishing the.umbilical cord or you want to give amnio.infusion another mechanism i want to.talk about is parvo virus so parvo virus.can present very subtly and the pregnant.mother which presents with arthralgias.malaise and myalgias I kind of think of.it as very similar sounding to.rheumatoid arthritis she'll have like.metacarpal phalangeal joint pain not.feeling well but it's more transient.compared to rheumatoid arthritis which.is more like over the course of months.but adult parvo virus is more like acute.onset last the last few days and so when.the mom is affected with parvo virus.this actually attacks on the fetal.erythrocytes the reticulocyte and when.it destroys all the funeral.reticulocytes.this causes something called aplastic.anemia which shouldn't be confused with.aplastic crisis aplastic anemia is when.you have destruction of all three cell.lines which destroys you know platelets.white blood cells and red blood cells.aplastic crisis is when you have just.decreased red blood cells when you have.decreased red blood cells then the.baby's heart rate will speed up.tachycardia to try and optimize.perfusion to make up for the decreased.amount of red blood cells but what will.happen is this will lead to heart.failure and then when it leads to heart.failure that will lead to pulmonary.edema and third spacing and this leads.to high drops.Vitalis but remember that also when the.red blood cells are.being destroyed so much delivery we'll.try to make up for it by trying to make.more red blood cells but by doing that.it has to compromise it makes less.albumin and when you have less elbe you.mean that has less intravascular oncotic.pressure and that exacerbates even more.third spacing and that's kind of like.the mechanism for hydrops fetalis sign.what would be a fetal heart rate tracing.sign of anemia.that's sinusoidal heart rate pattern.which you see the sign waves that would.be something you would see in a.parvovirus infection of the fetus what.would you see in a mother who has lupus.a mother who has lupus is associated in.the fetus with a complete heart block.next is CMV and CMV is characterized by.having mnemonic for cytomegalovirus so C.stands for Koryo retinitis M stands for.microcephaly and V stands for.ventricular calcification and you.prevent this by hand washing and not.sharing utensils with kids and that's.one of the common perinatal infections.another one has Toxoplasma which is.caused by eating undercooked meats or.cysts from cat feces and this has a.triad of cranial calcifications Koryo.retinitis and hydrocephalus and you.treat the mom with Spira my son and the.fetus with Pyrrha F amine or.sulfadiazine there's also rubella and.rubella triad is cataracts deafness and.cardiac anomalies do you remember what.the cardiac anomaly is it's patent.ductus arteriosus or pulmonic stenosis.normal amniotic fluid volume is usually.from 5 to 25 centimeters it's important.to know this because sometimes they'll.indirectly tell you oh look oh hi dream.yes or polyhydramnios so if it's 3.centimeters and that's Allegro Hydra.meiosis if it's 30 that's polyhydramnios.so what's another way to diagnose anemia.in the fetus other than the fetal heart.rate which would be sinusoidal.another way is you can do the middle.cerebral artery Doppler studies if you.see increased flow this is anemia this.is a way that also detect it in babies.who have sickle cell another way to.diagnose intrauterine growth restriction.which is defined as size of the fetus.below the 10th percentile is to measure.the umbilical artery Doppler and then.reverse flow in the umbilical artery as.a bad sign that's basically saying if.there's fetal hypoxia and you want to.deliver right away in the baby who was.just born air horn - getting.conjunctival infections and you want to.cover for chlamydia and gonorrhoea.so gonorrhea happens in day 3 to 5 and.chlamydia tends to happen on day 7 for.come on a caucus that's where you give.the erythromycin topical eye drops that.prevents a monocle conjunctivitis.but for chlamydia it's not effective.with topical eyedrops you want to give.oral systemic and that's if you have.conjunctivitis on day 7 so an HIV mom.can only deliver vaginally if her viral.load is less than a thousand copies of.RNA per mil if it's greater than that.then she has to do a c-section if a mom.has hepatitis B then you should give.hepatitis B antibodies and vaccinations.at birth so there's also something.called postpartum thyroiditis which is.found in patients who have the same.antibodies as Hashimoto's thyroiditis.which is anti-thyroid peroxidase and.anti microsomia antibodies but basically.what happens after birth is you get.inflammation of the thyroid which leads.to destruction of the gland and then.this basically releases all the.preformed thyroid hormone which causes.transient hyperthyroidism at this point.if you do an iodine uptake it'll be low.and iodine uptake.they like to test you on this because.they want you to know how to conclude.certain things.based on the iodine studies and.radioactive iodine uptake if there's a.lot of uptake that's a sign that the.thyroid is actively making new thyroid.and if it's not taking anything up then.that means that the thyroid gland isn't.making any more new thyroid so in.postpartum thyroiditis you will be hyper.thyroid but there will be decreased.uptake because this hyperthyroidism is.caused by an inactive thyroid gland that.is leaking out all the preformed thyroid.after that happens it becomes.hypothyroid and then recovers back to.you thyroidism so for example someone.with like Graves disease.you know the TSH receptor antibodies are.causing you to make so much thyroid.hormone all the time so if you were to.give someone with Graves disease a.radioactive iodine uptake then you'll.see diffuse uptake because that iodine.is getting sucked up into the thyroid.gland and it's the thyroid making.factory and they're hyper thyroid.because they're actively making thyroid.but in postpartum thyroiditis this is.due to inflammation and leakage and not.due to active formation and then you.should know about symmetric growth and.asymmetric growth in babies who have.intrauterine growth restriction they can.have symmetric growth which means the.head and body or equal size versus.asymmetric growth which is where the.head is really big and that and then the.body is a lot smaller in comparison and.the symmetric ones are caused by.chromosomal or like the torch congenital.infections like Toxoplasma syphilis.rubella CMV herpes but asymmetric growth.is caused by hypoxia like placental.insufficiency so like hypertension.smoking poor nutrition this causes the.baby during its development to shot all.the blood supply to the head and favor.development of.head over the body as a sacrifice so.remember asymptomatic bacteriuria and.pregnancy is high risk for.pyelonephritis so that's why you do the.urine culture in the first trimester and.if it's asymptomatic you still give.prophylactic antibiotics so the first.line UTI is in pregnancy are like.amoxicillin cephalosporin and nitro for.aunt Owen but in non pregnant UTI is the.first lines first line is like TPMS MX.nitro fianto in or fluoroquinolones well.in pregnant people you can't give TPMS.MX because it can cause neural tube.defects because it inhibits folate and.you can't give fluoroquinolones because.fluoroquinolones hurt the bones and it.causes tendinopathy.yes so basically remember the the.first-line drugs for pregnant UTI or.amoxicillin cephalosporins or nitro for.an twin also you want to know when to.give ampicillin prophylaxis for mom in.terms of Group B Strep.prior to delivery and usually you give.it four hours before delivery the.scenarios where you give a prophylactic.ampicillin or penicillin is if the mom.has had a prior pregnancy where a kid.has had infection by Group B Strep or.during this pregnancy she was found to.have Group B in her urine culture or if.during this pregnancy she's had a UTI.whether it's symptomatic or asymptomatic.then you're gonna give prophylaxis for a.group B strep no matter what word by.default - during weeks 35 to 37 you.usually give you do a genital culture.anyways an anal culture to check for.Group B Strep.if that's positive then you're gonna.give ampicillin penicillin prophylaxis.four hours to delivery as well if the.mom you don't know her Group B Strep.status because she wasn't following up.to her clinic visit they.you give Group B Strep under three.conditions one is maternal fever two is.prolonged rupture of the membranes which.has created than 18 hours of rupture of.the membranes which I talked about.earlier and the third is if you don't.know her status and she's preterm then.you're gonna give ampicillin or.penicillin prophylaxis remember the most.common cause of post c-section fever is.endo Myo metritis and you treat that.with gentamicin and clindamycin then.there are breast abscesses the main.cause is staph aureus and this is a red.block Xuan is the key word fluctuate.means that it feels like there's fluid.underneath the skin and you want to.treat that with dicloxacillin and.incision and drainage and if it's hard.to tell the difference between that and.cellulitis then you want to use the.ultrasound.remember breastfeeding has all the.vitamins except which to vitamin D and.vitamin case you want to supplement that.you should also know the differences.between breast milk and formula milk.breast milk has two proteins way and.calcium and formula milk also has them.but it has a way higher ratio of calcium.than breast milk and Cassie has a lot.more harder to digest which is why we.prefer breast milk exclusively for the.first six months before giving any food.or eating anything else the baby should.be purely dependent on breast milk for.the first six months because it has a.lot of antibodies and lysozymes and.protective factors in it and it's been.studies have shown that babies who are.breastfed have lower rates of allergies.and infections and also it helps up mom.because when mom breast feeds she has.lower chances of getting breast cancer.remember that gestational diabetes so.this is another thing to the prenatal.visit the week 28 visit and then the.week 35 to 37.are very important the first visit you.wanna do all everything your standard.like CBC UA um s check for all the STDs.HIV you want to check for rubella um.check for blood typing do pap smear but.then in week 28 that's when you check.for three things diabetes you want to do.a follow-up CBC to see how anemic she is.if she's like still within range and.then give rhogam shot if she is uh ro-.but this is where you will check for.diabetes and how you do that as you.first do the 50 gram glucose load after.one hour if it's greater than 140 then.that means she might have diabetes so we.advance to the second stage which is the.glucose tolerance test you give her a.hundred grams of glucose this time and.you measure her glucose at hours one two.and three if it's greater than 180 161.48 hours one two and three respectively.and two out of those three are too high.and you diagnosed her with gestational.diabetes and then with gestational.diabetes the first-line treatment is.going to be diet but then if she doesn't.improve her glucose levels with diet.then the second line you want to start.is insulin if you do a fundal height.test and you notice that it's.incongruent with the baby's age then the.next step you want to do is an.ultrasound to see what's happening that.is it probes tetrax and then the next.part we're going to talk about fine.ecology.[Music].

How to generate an electronic signature for the Ob Gyn Encounter Form Template online

CocoSign is a browser based app and can be used on any device with an internet connection. CocoSign has provided its customers with the most efficient method to e-sign their Ob Gyn Encounter Form Template .

It offers an all in one package including legality, efficient cost and flexibility. Follow these key elements to place a signature to a form online:

  1. Check you have a high quality internet connection.
  2. Upload the document which needs to be electronically signed.
  3. Choose the option of "My Signature” and choose it.
  4. You will be given selection after choosing 'My Signature'. You can choose your written signature.
  5. Generate your e-signature and choose 'Ok'.
  6. Choose "Done".

You have successfully signed the PDF . You can access your form and send it. Aside from the e-sign selection CocoSign give features, such as add field, invite to sign, combine documents, etc.

How to create an electronic signature for the Ob Gyn Encounter Form Template in Chrome

Google Chrome is one of the most accepted browsers around the world, due to the accessibility of lots of tools and extensions. Understanding the dire need of users, CocoSign is available as an extension to its users. It can be downloaded through the Google Chrome Web Store.

Follow these normal key elements to write an e-signature for your form in Google Chrome:

  1. Click the Web Store of Chrome and in the search CocoSign.
  2. In the search result, choose the option of 'Add'.
  3. Now, sign in to your registered Google account.
  4. Open the link of the document and choose the option 'Open in e-sign'.
  5. Choose the option of 'My Signature'.
  6. Generate your signature and put it in the document where you choose.

After placing your e-sign, send your document or share with your team members. What's more, CocoSign give its users the options to merge PDFs and add more than one signee.

How to create an electronic signature for the Ob Gyn Encounter Form Template in Gmail?

in Today's era, businesses have remodeled their workflow and evolved to being paperless. This involves the signing document through emails. You can easily e-sign the Ob Gyn Encounter Form Template without logging out of your Gmail account.

Follow the key elements below:

  1. Get the CocoSign extension from Google Chrome Web store.
  2. Open the document that needs to be e-signed.
  3. Choose the "Sign” option and write your signature.
  4. Choose 'Done' and your signed document will be attached to your draft mail produced by the e-signature app of CocoSign.

The extension of CocoSign has taken care of your problem. Try it today!

How to create an e-signature for the Ob Gyn Encounter Form Template straight from your smartphone?

Smartphones have substantially replaced the PCs and laptops in the past 10 years. In order to taken care of your problem, CocoSign aids to sign the document via your personal cell phone.

A high quality internet connection is all you need on your cell phone and you can e-sign your Ob Gyn Encounter Form Template using the tap of your finger. Follow the key elements below:

  1. Click the website of CocoSign and create an account.
  2. Next, choose and upload the document that you need to get e-signed.
  3. Choose the "My signature" option.
  4. Write down and apply your signature to the document.
  5. Check the document and tap 'Done'.

It takes you shortly to place an e-signature to the Ob Gyn Encounter Form Template from your cell phone. Print or share your form whatever you like.

How to create an e-signature for the Ob Gyn Encounter Form Template on iOS?

The iOS users would be satisfied to know that CocoSign give an iOS app to assist them. If an iOS user needs to e-sign the Ob Gyn Encounter Form Template , work with the CocoSign app wthout doubt.

Here's instruction place an electronic signature for the Ob Gyn Encounter Form Template on iOS:

  1. Add the application from Apple Store.
  2. Register for an account either by your email address or via social account of Facebook or Google.
  3. Upload the document that needs to be signed.
  4. Choose the space where you want to sign and choose the option 'Insert Signature'.
  5. Draw your signature as you prefer and place it in the document.
  6. You can send it or upload the document on the Cloud.

How to create an electronic signature for the Ob Gyn Encounter Form Template on Android?

The great popularity of Android phones users has given rise to the development of CocoSign for Android. You can insert the app for your Android phone from Google Play Store.

You can place an e-signature for Ob Gyn Encounter Form Template on Android following these key elements:

  1. Login to the CocoSign account through email address, Facebook or Google account.
  2. Upload your PDF file that needs to be signed electronically by choosing on the "+” icon.
  3. Click the space where you need to place your signature and write it in a pop up window.
  4. Finalize and adjust it by choosing the '✓' symbol.
  5. Save the changes.
  6. Print and share your document, as desired.

Get CocoSign today to assist your business operation and save yourself a large amount of time and energy by signing your Ob Gyn Encounter Form Template on the Android phone.

Ob Gyn Encounter Form Template FAQs

Some of the confused FAQs related to the Ob Gyn Encounter Form Template are:

Need help? Contact support

How do I fill out appraisal form of management by objectives?

It depends on what kind of system you follow. If you have a manual system then normally they provide you sheet which you need to fill and submit back with the management. And if it is a application then you fill the form online which is in turn submitted for review. This ensures a timely and effective way of doing performance appraisal. Hope I have answered your question.

Do military members have to pay any fee for leave or fiancee forms?

First off there are no fees for leaves or requests for leave in any branch of the United States military. Second there is no such thing as a fiancée form in the U.S. military. There is however a form for applying for a fiancée visa (K-1 Visa)that is available from the Immigration and Customs Service (Fiancé(e) Visas ) which would be processed by the U.S. State Department at a U.S. Consulate or Embassy overseas. However these fiancée visas are for foreigners wishing to enter the United States for the purpose of marriage and are valid for 90 days. They have nothing to do with the military and are Continue Reading

How can I fill out Google's intern host matching form to optimize my chances of receiving a match?

I was selected for a summer internship 2016. I tried to be very open while filling the preference form: I choose many products as my favorite products and I said I'm open about the team I want to join. I even was very open in the location and start date to get host matching interviews (I negotiated the start date in the interview until both me and my host were happy.) You could ask your recruiter to review your form (there are very cool and could help you a lot since they have a bigger experience). Do a search on the potential team. Before the interviews, try to find smart question that you are Continue Reading

How do I fill out the form of DU CIC? I couldn't find the link to fill out the form.

Just register on the admission portal and during registration you will get an option for the entrance based course. Just register there. There is no separate form for DU CIC.

How tough is it to be an OB/GYN and a mother?

Well, I worked in a hospital for 9 years- yes, the hours are long for doctors and you're required to be on call 24/7- BUT, you'd have access to perks most folks do not: Brighten Medical, for example ( before Maine MED took it over) set aside 3 or 4 beds in the pediatric ward specifically for employees' children: If your kid was sick, you dropped them off at the ward, where they would be cared for in their own private room- fed, given meds, if needed, read to, ect : and then the parent would pick them up after their shift. As a doctor, you would also have contact with nursing trainees/interns, Continue Reading

What is a Superbill form?

Okey here is another from my life which puts a smile on my face. For my foreign medical degree to be recognized and I get the right to work as a doctor in the UK, I had to do the PLAB examination. Expensive and what more I have to eat. Went to the jobcentre and they fixed me with a cleaning job at the London Arena. A concert Venue in London. Clean at night and study for the exams during the day. Perfect. Worked for two weeks and get a phone call from the boss of the “clean team” as the cleaners are called. Telling me he needs me in next morning to work during the concert by the spice girls. Yes Continue Reading

How do I create a Superbill in Quickbooks?

Sounds like you’ll want to use the HELP in QuickBooks, in addition to Google. The first thing you need to do, before you tackle invoices, is set up ITEMS. What are you selling? Hours, Services, widgets (units or dozens)? Google “Items in QuickBooks” as a place to start. Then Google “Invoices in QuickBooks”.

Easier, Quicker, Safer eSignature Solution for SMBs and Professionals

No credit card required14 days free