1.) Obstetrical Anamnesis Taking And Ante Partum Preperation Of The Pregnant Woman Flashcards
What is the total duration of pregnancy?
9 months and 7 days or
40 weeks or
288 days from ovulation
How do we estimate due date of delivery?
Use naegeles rule of delivery
+7 days to the first day of the last menstrual cycle , minus 3 months
Define Gravidity ?
The number of times a woman has been pregnant regardless of the outcome
Define Parity ?
The number of pregnancies that have resulted in live birth or still birth , but after 24 weeks
Patient anamnesis includes ?
Gravidity , parity , aborptions , history of complications , type of delivery?
Medical history ( STD , allergies, surgeries etc)
Family history ( down syndrome, cystic fibrosis etc)
Social history ( smoking , work place , alcohol
What are the regular prenatal visits?
- Every 4 weeks until 28 weeks
- Every 2 weeks until 36 weeks
- Every week after 36 weeks until delivery
Routine blood tests ?
CBC , Rh factor , infections ( HIV , Syphilis , Hepatitis B )
Glucose
Thyroid function tests
Rubella and Varicella immunity
TORCH = Toxoplasmosis , Rubella , Cytomegalovirus , herpes simplex virus.
What do we look for in a urine screening?
1.) Protein ( to detect renal diseases, pre eclampsia etc)
2.) Glucose in the urine ( for diabetes)
3.) Nitrites ( to detect UTI)
4.) Ketones seen in hyperemesis gravidarum due to severe vomiting , forcing the body to break down fats for energy instead of carbs
What do we need to do if the mother is Rh D negative ?
If the Mother is Rh D negative then the anti D is given at 28 weeks gestation, also another dose is given after the delivery within 72 hours if the baby is Rh positive to avoid future pregnancy issues
What is the TDAP vaccine ?
Tetanus , diphteria , pertusis , vaccine is recommended between 27 to 36 weeks
How does Tetanus , diptheria and pertussis effect the baby?
Tetanus, also called lockjaw, is a disease caused by bacteria that affects the body’s muscles and nerves.
Diphtheria is a respiratory disease caused by bacteria that can cause the breathing tube to be blocked.
Pertussis, also known as whooping cough, is a highly contagious respiratory infection caused by the bacterium Bordetella pertussis
Which bacterium causes Tetanus , diptheria and pertusis ?
Tetanus is caused by Clostridium tetani.
Diphtheria is caused by Corynebacterium diphtheriae.
Pertussis (whooping cough) is caused by Bordetella pertussis.
If the mother has active hepatitis B then what do we do?
The infant should receive hepatitis B vaccine plus one dose of hepatitis B immunoglobulin within the first 12 hours of life the infant will require additional doses of hepatitis B vaccine at 1 month and six months of age
If mom has inactive then the baby just receives the hepatitis B vaccine
If the mother has HIV then what should we do?
We should start antiretroviral therapy by 24 weeks gestation also you will need to do a planned C-section for those with a viral load greater than or equal to 400 HIV RNA copies/ml at 36 weeks gestation
