APH Flashcards
1
Q
29yo P1G2 at 38w GA with LAP and a show with uneventful ANC. Prev C/S. How would you manage this patient?
A
History Examination Problem list Management VBAC counselling VBAC management Discharge management
2
Q
29yo P1G2 at 38w GA with LAP and a show with uneventful ANC. Prev C/S.
History
A
Main complaint
Obs hx
Gynae hx
3
Q
29yo P1G2 at 38w GA with LAP and a show with uneventful ANC. Prev C/S.
Examination
A
Weight, height, MUAC
The rest
4
Q
29yo P1G2 at 38w GA with LAP and a show with uneventful ANC. Prev C/S.
Problem list
A
- Prev C/S
- Active labour
- Rh negative
- Overweight
5
Q
29yo P1G2 at 38w GA with LAP and a show with uneventful ANC. Prev C/S.
Management
A
Urine dipstick HIV Hb Indirect Coomb's CTG Counsel on VBAC delivery
6
Q
29yo P1G2 at 38w GA with LAP and a show with uneventful ANC. Prev C/S.
VBAC counselling
A
Her + indicators - prior C/S - GS <40w - EFW <4kg - active labour Facility Benefits - reduced maternal pyrexia - decr prem - decr TTPN - decr RDS - multiple C/S assoc with pelvic adhesions and abnormal placentation - C/S operative risks Risks - uterine rupture - failure
7
Q
29yo P1G2 at 38w GA with LAP and a show with uneventful ANC. Prev C/S.
VBAC management
A
- Admit to labour ward
- IVI line and catheter
- Monitor for signs of uterine rupture
- Analgesia
- Continuous CTG
- Partogram -> reassess labour in 2h
- Poor progress -> C/S
8
Q
29yo P1G2 at 38w GA with LAP and a show with uneventful ANC. Prev C/S.
Discharge management
A
Babies Rh Hb -> haematinics BF Contraception Lifestyle modification Weightloss Postnatal visit in 3d
