Understanding your maternity (green) notes - abbreviations explained

Noodles

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I posted this in third tri and people seem to have found it useful, so I thought that I would share it with you lot...

------------------------------Terminology------------------------------

* G= Gravida means # of Pregnancy
* P= Parity means # of deliveries > 20 weeks , P tpal (T=term,preterm,abortion, live child)
* Term= > 37 wks,< 42 wks, or >2500 gms
* Preterm= 20-37 wks,>500 gms <2500gms
* Abortion= <20 weeks, <500gms,<25cm
* Post term= >42 weeks
* Puerperium= birth -42 days postpartum
* Trimesters: 1st <12 wks, 2nd = 13-28 wks, 3rd = >28 wks

------------------------------Ultrasound Acronyms------------------------------
ABO - May be seen in reference to blood test to check what your blood group is
AC - Abdominal circumference
AF - Artificial feed i.e. bottle fed
AFP - Alpha fetal protein (test offered at 16weeks to assess risk of problems with babe such as Downs syndrome)
ANC - Ante natal clinic
APH - Ante partum haemorrhage. Bleed whilst pregnant
BF - Breast fed
BO - Bowels opened
BNO - Bowels not opened
BPD - Bi parietal diameter. One side of the head to the other (ear to ear direction)
BP - blood pressure
Br - Breech
CEPH - Cephalic (head), in regards to presentation means head down
CRL - Crown to rump length i.e. Top of head to baby.s bum
C/S - Caesarian section
CTG - Cardio toco graph. The machine that they use on delivery suite to measure contractions and baby.s heart rate over a period of time
Cx - Cervix
= d - Usually in relation to fundal height (uterus size) means is right for dates
EBM - Expressed breast milk
EDD - Estimated date of delivery
ELSCS - Emergency lower segment caesarean section
Eng - Engaged
EPU - Early pregnancy unit
FAU - Fetal assessment unit
FBC - Full blood count
FBS - Fetal blood sample OR fasting blood sugar
FL - Femoral length (thigh bone)
FMF - Fetal movements felt
FHHR - fetal heart heard regularly (sometimes seen as FHH)
GTT - Glucose tolerance test
G2 P1 - Gravida 2 (2nd pregnancy) Para 1 (1 child living)
GA - General anaesthetic
Hb - Haemoglobin i.e. Iron levels
HC - Head circumference
IM - Intra muscular
IUGR - Intra uterine growth Restriction i.e. Small baby for dates
IV - Intra venous (going into vein)
IVI - Intra venous infusion i.e. a drip
LA - Local anaesthetic
LMP - Last menstrual period
LOA - Left occiput anterior i.e. the back of baby.s head is to the front left side of your abdomen (where you want it to be)
LOP - Left occiput posterior i.e. back of baby.s head is to the back left side of your abdomen (where you don.t want it to be really)
LUSCS - lower uterine segment caesarean section (sometimes seen without the U )
Mec - Meconium (babies early poo)
Multip - Has 1 or more living child
MSSU - mid stream specimen of urine
NAD - Nothing abnormal detected
N/Eng - Not engaged
NNU - Neonatal unit
NICU - Neonatal intensive care unit
NPU - Not passed urine
OC - Oral contraception
OP - Occiput posterior
OA - Occiput anterior
Palp - Palpable i.e. what can be felt
PIH - Pregnancy induced hypertension (high bp)
PMH - Past medical history
PPH - Post partum haemorrhage. Bleed after baby is born
PR - Via rectum
PU - Passed urine
PV - Via vagina
Primip - First pregnancy
Reg - Registrar
Rh - Rhesus
SCBU - Special care baby unit
SHO - Senior house officer
SPD - symphisis pubis dysfunction i.e. loosening of cartilage at front of pubic bone (v. rough definition)
TOS - Trial of scar
Tr - Transverse ie Lying sideways
U&E - Blood test checking urea and electrolyte levels
USS - ultrasound scan
VBAC - Vaginal birth after a caesarean section
+ve - Positive
-ve - Negative
VE - Vaginal examination
Vx - Vertex, used in relation to presenting part/position. Means head down

------------------------------Abbreviations------------------------------

AB - abortion; may see SAB (spontaneous) or TAB (therapeutic) or EAB (elective)
AC - abdominal circumference (sono)
AFI - amnionic fluid index (sono); normal = 5 to 20
AGA - appropriate for gestational age

BPD - biparietal diameter (sono)

Chl - chlamydia, usually referring to gen probe
Ctx - contractions
CVAT - costovetebral angle tenderness, a symptom of pyelonephritis

DM - diabetes mellitus, may see GDM (gestational)
DR - delivery room

EBL - estimated blood loss
EDC - estimated date of confinement (due date)
EFW - estimated fetal weight (sono)

FBS - fasting blood sugar
FFN - fetal fibronectin
FH - fundal height
FHT - fetal heart tones
FOC - father of child
FTG - Foley to gravity

GA - gestational age
GIFT - gamete intrafallopian transfer
G#P# - gravida, para
G - total # of pregnancies
P - total # of delivered pregnancies
T - total # of term deliveries (after 37 weeks)
P - total # of preterm deliveries (20-36 weeks)
A - total # of abortions/miscarriages (before 20 weeks)
L - total # of living children
* Note: for TPA twins count as one number, but for L they count as two

HSG- hysterosalpingography
HTN - hypertension, may see CHTN (chronic)
HBsAg - Hepatitis B surface Antigen
HGSIL - high grade squamous intraepithelial lesion

IAL - in active labor; may see NIAL (not)
ICSI - intracytoplasmic sperm injection
IDC - indirect Coomb's test
IUI- Intrauterine insemination
IUP - intrauterine pregnancy; may see PTIUP (preterm), TIUP (term)
IVDA - intravenous drug abuse
IUFD - intrauterine fetal demise
IUF-ET - in vitro fertilization with embryo transfer

L/C/P - long, closed, posterior cervical exam when a woman is not in labor
LGA - large for gestational age
LGSIL - low grade squamous intraepithelial lesion
LMP - last menstrual period (first day of)
LTCS - low transverse cesarean section; refers to type of incision on the uterus and not the skin

MGA - mean gestational age (sono)
MI - menstrual index: age of pt at 1st period/cycle length/duration of period
MLE - midline episiotomy, usually preceded by degree, e.g. 2° MLE
MMR - measles, mumps, rubella vaccine; given to Rubella sensitive pts post-partum
MSAFP - maternal serum alpha feto protein; prenatal test for Down's if increased for neural tube defects if decreased - screening test only

NST - non-stress test; may see NST-NR (non-reactive) or NST-R (reactive)
NTD - neural tube defect; e.g. meningomyelocele, spina bifida
NMDC - no malignant or dysplastic cells; pap smear results

OCP - oral contraceptive pill; also written BCP (birth control pill)

PID - pelvic inflammatory disease
PML - preterm (premature) labor
PNV - prenatal vitamins
POD# - post op day #
PPD# - post partum day #

ROM - rupture of membranes (broken bag of water); may see AROM (artificial), PROM (preterm = less than 37 weeks), SROM (spontaneous), PPROM (preterm, premature = 12 to 24 hours before labor starts)
Rub - rubella, usually refers to the titer

SGA - small for gestational age
STD - sexually transmitted disease
SVD - spontaneous vaginal delivery (no forceps or vacuum)

TOL - trial of labor

3VC - three-vessel cord

VBAC - vaginal birth after c-section
WBD - weeks by dates (by LMP)
 
Thank You, I found the FHHR on my notes and wondered what it meant, luckily I had a abbreviation form from the hospital x
 
what a fab thread much appreciated
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
 
fab thanks iv'e just been able to read my notes now :) x
 

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