Labor and Delivery Triage

When a pregnant patient presents to triage, you need a systematic approach. In this episode, we cover the OB one-liner, the four essential triage questions, how to evaluate for labor and rupture of membranes, and when vaginal bleeding becomes a red flag. Show Outline: The OB One-Liner "This is a _ yr old G_ P_ @ _ wks GA here for ____." Example: This is a 34yo G3P2002 @ 38wks3days GA here for contractions Four Essential Triage Questions Contractions Leaking fluid Vaginal bleeding Fetal movement What Is Labor? – Cervical change and contractions Evaluating for ROM – Pooling, nitrazine (pH), ferning Vaginal Bleeding – In 2nd or 3rd trimester, worry about placental causes: abruption, previa, vasa previa Decreased Fetal Movement (DFM) – NSTs, BPPs, kick counts About the Speaker: Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators. Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.