Common drugs in Obstetrics

Question 1

Use of dinoprostone e.g.: prostin E2

Answer 1

prostaglandin - for induction of labour

Question 2

The use of Oxytocin, e.g.: syntocinon

Answer 2

oxytocics

Question 3

The use of clindamycin

Answer 3

alternative to penicillin (allergy) - In labour - +ve group B strep vaginal swap

Question 4

The use of benzyl penicillin

Answer 4

In labour - +ve group B strep vaginal swap

Question 5

The use of ondansetron

Answer 5

Nausea and vomiting

Question 6

Indication for cyclazine

Answer 6

Nausea and vomiting

Question 7

Indication for labetalol

Answer 7

hypertension

Question 8

Indication Magnesium Sulphate

Answer 8

Suspected eclamptic seizure during labour/ post delivery

Question 9

What drugs for acid reflux?

Answer 9

Maalox, peptac

Question 10

What drugs for antenatal iron deficient anaemia?

Answer 10

Pregaday, ferrous sulphate

Question 11

Mild to moderate pain relief in antenatal?

Answer 11

Codeine phosphate, oral paracetamol

Question 12

1) Pain relief during labour, 2) Relief for moderate to severe pain during labour?

Answer 12

1) Entonox - nitrous oxide

2) IV paracetamol, Meptazinol - Meptid

Question 13

Reduce uterine activity -e.g.: use during transfer between hospital

Answer 13

Turbulatine

Question 14

Indication for miscarriage

Answer 14

Mifeprstone - anti-progestogen

Question 15

Combined oral contraceptives (COCP)

Answer 15

Levonorgestrel / ethinyloestradiol

e.g: microgynon

Question 16

Progesterone-only contraceptives

Answer 16

Desogestrel / medroxyprogesterone /acetate (depot)

e.g.: Cerazette, Depo-Provera

Question 17

Intra-uterine devices (IUD)

Answer 17

Intrauterine progestogen-only system - e.g.: Mirena

Question 18

Emergency contraception

Answer 18

Levonorgestrel - e.g.: Levonelle

Ulipristal acetate -e.g.:EllaOne

Question 19

Indication for HMB?

Answer 19

Tranexamic acid - antifibrinolytics - less clotting

Question 20

Indication for dysmenorrhoea?

Answer 20

Mefenamic acid - NSAIDs

Question 21

Indication for detrusor over activity

Answer 21

Oxybutynin, tolteradine

Question 22

Indication for vaginal and vulval conditions e.g.: dryness, painful intercourse

Answer 22

Conjugated oestrogens - topical oestrogens

Question 23

Indication for fungal infection

Answer 23

Clotrimazole (cream, pessaries) e.g.: canesten

Question 24

Indication for UTI

Answer 24

Cefalexin TDS 500mg 7 days (PO)

Question 25

Contraindication UTI antibiotics in pregnancy

Answer 25

Trimethoprim - block folate acid synthesis
Nitrofurantoin - Haemolytic disease in newborn
Tetracycline (e.g.:doxycycline) - yellow teeth in babies