7 Flashcards
define lactogenesis 1
breast development and colostrum production from 16 weeks gestation onwards
what is oxytocin, what influences its levels
hormone responsible for milk delivery
acts on muscle cells in pulsatile action
levels higher when baby near
stress can temporarily delay
what is this clinical presentation suggestive of:
- persistent burning/ aching @ vulvar area
vulvodynia
what is prolactin, what influences its levels
hormone responsible for milk production
responsive to touch and stimulation
levels higher at night
define frequent menstrual cycle
<24 days
fetal complications in pre-eclampsia
- impaired placental perfusion
- fetal distress
- prematurity
- increased PN mortality
what is Pteronophobia
fear of being tickled by feathers
organism responsible for erythrasma
corynebacterium minutissimum
posthitis
infection of foreskin
balantitis
infection of glands penis
describe lichen planus
non-infective itchy rash which can be associated with swelling
what could this be a presentation of?
purplish, itchy, flat bumps that develop over several weeks
lichen planus
describe placenta praevia
all or part of placenta implants in lower uterine segment
main causes of primary post partum haemorrhage
4Ts:
- tone
- trauma
- tissue
- thrombin
unique attributes of breast feeding
- immunoglobulins
- viral fragments
- white cells
- enzymes
- oligosaccharides
- bifidus factor
- hormones
- anti-inflammatory nucleotides
investigations for pelvic organ prolapse
- examination
- USS
- MRI
- urodynamics
- renal USS
pregnancy hormones with anti-insulin action
- cortisol
- progesterone
- human placental lactogen
- human chorionic gonadotrophin
clinical criteria for diagnosing pre-eclampsia
- severe hypertension + >3 of:
- proteinuria
- clonus/ brisk reflexes
- papillodema
- epigastric tenderness
- reduced urine output
- convulsions
purpose of third trimester assessment
- primarily to ensure foetal well being
- no USS
what can be used to assess risk of neural tube defect
alpha-feto-protein
> 2 = abnormal
circumstances in which you would consider natural delivery for breech presentation
- first baby born head first
management chlamydia
1 day doxycycline
1 day azithromycin
