Antenatal Care Flashcards
placental abruption clinical features
shock (not in keeping with visible blood loss)
constant pain
tender, tense uterus
normal fetal lie and presentation
fetal HR absent / distressed
coagulation problems
beware: DIC, pre-eclampsia, anuria
placental previa clinical features
shock (in keeping with visible blood loss)
abnormal fetal lie and presentation
fetal HR normal (usually)
coagulation problems rare
1st trimester bleeding DD
ectopic pregnancy
hydatidiform mole
spontaneous abortion
2nd trimester bleeding DD
hydatidiform mole
spontaneous abortion
placental abruption
3rd trimester bleeding DD
vasa praevia
placental praevia
placental abruption
bloody show
1st trimester dates
week 1 - 12/13
2nd trimester dates
week 13 - 26
3rd trimester dates
week 27 - end of pregnancy
ectopic pregnancy clinical features
6-8 weeks amenorrhoea
(UL) pelvic pain
+/- vaginal bleeding
cervical excitation
antepartum haemorrhage history questions
when did the bleeding start?
colour, consistency of the blood?
quantity
fetal movements
provoked? (post-coital)
chance of membranes rupturing?
RF for placental abruption
smoking
drug use
trauma
vasa praevia triad
vaginal bleeding
fetal compromise
rupture of membranes
normal fetal HR
110-160 bpm
causes of fetal tachycardia
chorioamniocentesis
fetal hypoxia
hyperthyroidism
F/M anaemia
feta tachyarrhthmia
Fetal Severe hypoxia definition
fetal HR < 80 for more than 3 minutes
