Obs & Gynae Mnemonics

The best O&G mnemonics for medical student finals, OSCEs and MRCP

• Complications of multiple pregnancy (HI PAPA)

  • Hydramnios (poly)
  • Intrauterine growth restriction
  • Preterm labour
  • APH
  • Pre-eclampsia
  • Abortion

• Causes of postpartum haemorrhage (4 T’s)

  • Tissue (retained placenta)
  • Tone (uterine atony)
  • Trauma
  • Thrombin (coagulation disorders, DIC)

• Postpartum haemorrhage risk factors (PARTUM)

  • Prolonged labour/ Polyhydramnios/ Previous C-section
  • APH
  • Recent Hx of bleeding
  • Twins
  • Uterine fibroids
  • Multiparity

• Management of shoulder dystocia (HELPER)

  • call for Help
  • Episiotomy
  • Legs up (McRoberts maneuver)
  • Pressure suprapubically
  • Enter vagina for shoulder rotation
  • Reach for posterior shoulder/ Return head into vagina (Zavanelli maneuver)/ Rupture clavicle or pubic symphysis

• Criteria for forceps delivery (FORCEPS)

  • Foetus alive
  • Os dilated
  • Ruptured membrane, Rotation complete
  • Cervix take up
  • Engagement of head
  • Presentation suitable
  • Sagittal suture in AP diameter of inlet