AMK day Flashcards
women 19 week preg and son has chicken pox what is the management
give varicella zoster immunoglobulins
congenital VZV in (dorsal ganglia fro shingles) tetragonal effects in 1st trimester from this what are symptoms
microcephaly, limb hypoplasia, eye defects and low birth weight
diagnosis fo VZV
check maternal blood for VZV antibodies
management fo VZV
non pregnant - VZV ig prophylaxis
under 20 week peg VZV ig
over 20 weeks with - oral acyclovir
congenital toxoplasmosis - cat shits - toxoplasmosis Gondi amniocentesis needed and treament is
triple therapy
after 18 weeks
pyimethanmne, sulfadiazine and folinic acid
congenital rubella - greatest risk in first trimester - deafness and cataracts and congenital distress - need to do USS and rubella IgM antibodies
mangemtn
don’t give MMR in pregnancy - receive vaccine 28 days prior to conception or post natal
congenital CMV - microcephaly and hearing loss and visual imapriemtn
seizures and jaundice
USS and ventrculomegaly
treatment Is what
IV ganciclovir
similar to toxoplasmosis
over 24 weeks classified as birth
placenta preavia of myometrium - invaded more than half what finding on USS
placenta increta - penetration into myometrium
accreta- attachment to myometrium
procreate - penetrating past it and reaching uterine serosa
adherent placenta RF
previous c section
previous placenta pavia
multigravida and increased maternal age
doppler USS diagnose s
which of the following defines a major primary post part haemorrhage
blood loss over 500ml 24hr following delivery
secondary PPH
24hr to 12 weeks post delivery
cause of PPH
tone- uterine atony - plates of placenta a
trauma
tissue - retained products of conception
thrombin
tretemtn pPH
ABCDE , clotting etc
uterine massage and IV oxytocin
IM carboprost
previous gestational diabetes via oral glucose tolerance test -what is most appropriate approach to screen of gestational diabetes in the future preg
OGTT immediately after booking and at 24-28weeks
macrosmic baby and BMI more than 30 - other risk factors just a OGTT at 24-28 weeks
oGTT-5678 - more than 5.6 gestational diabetes , glucose at 2 hours more than 7.8 have diabetes
treatment for gestational
fasting glucose if under 7 diet and exercise for 1-2 weeks
over 7 - insulin with metformin or not
over 6 - macrosmai - insulin and metformin
preexisting diabetes
stop diabetic meds - start on 5mg of folic acid
weiht loss
retionpathy screening once pregnant and delivery between 37-38 weeks
gestational HTN has be more than what week pregnant
20 weeks
chronic HTN - high blood pressure before pregnancy or before gestation or before 20 weeks
treamtent
labetalol - avoid is asthma
nifedipine
methyldopa
pre eclampsia
geasttioanl HTN and proteinuria
headache and visual distrrnace and visual disturbance
epigastric pain
treatment of pre-eclampsia
labetaolo and IV magnesium sulphate
for eclampsia with seizures treatment is
IV magnesium sulphate
calciumglucoante -
HELLP syndrome
treatment
haemolysis, elevated liver enzymes, low platelets
onyl manegmt ndelviery baby - 3rd trimester
acute fatty liver of pregnancy - raised LAT, ALP and AST and WBC
rapid accumulation of fat in liver cells happens in 3rd trimester
headache and raised sugar levels
obstetric emeegrnecy
cholestasisi of pregnancy
reduced outflow of bile acids and build up of bile acid - pyritise
jaundice and purity sand pale beast stools
gamma GT raised in cholestasis of pregnancy
treat wth uro
treatment fro induction
membrane sweep
vaginal prostoglandin
blazon
artificial rupture and oxytocin
complication of induction is uterine hypesitmualtion - more problems
bishop score
fro induction of aboru
8 or More fine
less than 8 stimulate cervix
uterine hyperstimualtion - by medication
lots of contraction seen on ctg causing distress contraction fro more than 2 mins or more than 5 every 10 lead to hypoxia and acids s emergency c section and uterine rupture
treatment is remove cause of hyeprstimulte so pessary give tocolysis( delay labour) and terbutaline
is prolapse of cord what do you do( vaginal introits)
ask mother to go on all fours
can cause vasal spasm if push umbilical cord back in
rf for cord prolapse
abnormal lie after 37weeks gestation
if past introsisus - keep cord moist and warm and with minimal handling
tocolytics - reduce contractions and bfs time for c-section
