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Obs AM > Amniotic fluid > Flashcards

Amniotic fluid Flashcards

1
Q

What is oligohydramnios?

A

Amniotic fluid deficiency- should be 3-10

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2
Q

What can cause oligohydramnios?

A 
Foetal renal problems eg agensis
Intrauterine infection
PPROM
Drugs- eg ACEi
IUGR
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3
Q

What is the presentation of oligohydramnios?

A

Small bump/fundal height for gestation
Foetal malpresentation
Prominence of foetal parts
Deepest pool <3cm on scan

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4
Q

What is the management of oligohydramnios?

A

Maternal hydration

Sevree- amnioinfusion

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5
Q

What is polyhydramnios?

A

Excess amniotic fluid

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6
Q

What can cause polyhydramnios?

A

Intrauterine infection

MAternal disease- cardiac, renal, diabetes mellitus

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7
Q

What is the presentation of polyhydramnios?

A 
Large bump
Shiny skin with striae
Dyspnoea
Chest heaviness
Reflux
Faint foetal heart sound
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8
Q

How is polyhydramnios diagnosed?

A

Amniotic fluid index >24

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9
Q

What is the management of polyhydramnios?

A 
Mild= expectant
Severe= admission, rarely theraputic amnioscentesis
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10
Q

What are the complications of polydramnios?

A

Cord prolapse
Placental abruption
Prematurity
Foetal anomalies

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11
Q

What is an amniotic fluid embolism?

A

Foetal cells or amniotic fluid enter mother’s circulation and causes reaction

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12
Q

What are the risk events for amniotic fluid embolism?

A

Induction of labour

Rupture of membranes

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13
Q

hat is the presentation of amniotic fluid embolism?

A 
Majority during labour- can be during section or immediately postpartum
Chills, shivering, sweating
Cyanosis, hypotension
Tachycardia
Arrythmia, MI
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14
Q

How is amniotic fluid embolism diagnosed?

A

Clinical, diagnosis of exclusion

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15
Q

How is amniotic fluid embolism managed?

A

Mainly supportive

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16
Q

What is chorioamnionitis?

A

Infection of amniotic fluid

17
Q

When is chorioamnionitis most commonly seen?

A

PPROM

18
Q

What is the presentation of chorioamnionitis

A 
Maternal fever 
Maternal tachycardia
Foetal tachycardia
Uterine tenderness
Foul smelling discharge
MAternal leukocytosis
19
Q

What is the management of chorioamnionitis?

A

Delivery and IV antibiotics

Obs AM (17 decks)

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