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Medical Transcription Demo - Page 9 |
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Did you know that ultrasonography, echogram and sonogram mean the same thing? This procedure lets sound waves pass through the body, taking pictures of internal structures. One use for the procedure is in pregnant women to evaluate the health and development of the fetus. If the parents want to know the sex prior to birth, a physician sometimes can tell them that if the fetus is in the correct position.
A woman once delivered a healthy, full-term baby that was an ectopic pregnancy. This refers to a fetus developing outside the uterus. Some 99% of the time these fetuses are not viable. The physicians were unaware that this fetus had developed outside the uterus until the patient was having terrible abdominal pains. The physicians decided to do a cesarean section because these were not normal delivery pains. When they opened the patient's abdomen, they discovered the infant in a sac up by the liver and outside the uterus. Obviously, this is extremely rare.This woman had had ultrasound and they showed pictures of it and you could not tell that the baby was outside the uterus. The sac was there and the umbilicus, cord, everything looked normal. When a women is giving birth she receives an episiotomy. This is when they surgically cut the pelvic floor or perineum to help prevent tearing during the last stage of birth. Inherent in that procedure is the repair of the surgical cut, called a perineorrhaphy or episiorrhaphy. However, when you read a delivery report, usually only the episiotomy has been dictated. If they mention the repair, often the medical term "episiorrhaphy" is not used. Instead they may say "episiotomy with repair." But if the perineum lacerates because the head is too large and it further tears the episiotomy, they will often use the medical term "episiorrhaphy," indicating the tear repair. In fact, they may even determine the degree of laceration, first degree being a slight tear. |