Cardiac Complicating Pregnancy

Question 1

Conditions which precipitation cardiac failure

Answer 1

Anemia, thyrotoxicosis, obesity, multiple pregnancy, polyhydramnios

Question 2

IE prophylaxis

Answer 2

Ampicillin 2g + 1.5 mg / kg ht of gentamycin

Question 3

What is the rule of five

Answer 3

Haemodynamic changes from 5th week
It reaches maximum by 5 weeks before term
Complications - CCF:
5mins after delivery
5h after delivery
5 d after delivery

Question 4

Anticoagulant guidelines

Answer 4

If a patient is on warfarin, substitute heparin during 6-12 weeks then change to warfarin till 36 weeks

Then again heparin, stop 6hr before delivery
Restart heparin 6h after vaginal delivery and 12h after LSCS

Start warfarin after 3day and withdraw heparin