10 - Obs - Fetal Growth, Compromise and Surveillance - Fetal Surveillance

Question 1

ID of high-risk preg - Prepregnancy - 5

Answer 1

poor past obs hx / v small baby
maternal disease
heavy smoking/drug use
extremes of reprod age
assisted conception

Question 2

ID of high-risk preg - During preg - 5

Answer 2

HTN/proteinuria
PV bleeding
SFD
Prolonged pregnancy
Multiple pregnancy

Question 3

ID of high-risk preg - Ix - 3

Answer 3

cervical scan at 23 weeks
uterine artery doppler
maternal blood tests eg PAPP-A

Question 4

Early Pregnancy Surveillance

Blood tests: ????-A = ?
hormone, level reduced in ?trim w ? abnormalities. Use in ? screening.

Maternal uterine aa Doppler: Uterine circ has v ? resistance in normal preg. Abnormal wave form at ?wks suggest failure of this, and identifies ?% pregs at risk of adverse neonatal outcomes in early ?rd trim, esp early ?, IUGR or ?.

These tests not universal but can be invaluable esp in combination.

Integrated screening for preg risk: Combo of different RFs to incr ?. So factors in Hx and invx can be used to ID more ? ? women

Answer 4

PAPP
placental
1st
chromosomal
downs

low
23
75
3
preeclampsia
abruption

accuracy
high
risk

Question 5

6 methods of fetal surveillance

Answer 5

USS - fetal growth
Doppler umb a waveforms
doppler waveforms of fetal circulation
USS - biophysical profile, liquor volume
CTG/non-stress test
Kick chart

Question 6

these tests are not ? in low risk pregs - cornerstone of ID of ? or compromised fetus is serial measurement of ? ? and other aspects of ANC

Answer 6

routine
small
fundal height