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Obstetrics > Early Pregnancy: Lifestyle Advice > Flashcards

Early Pregnancy: Lifestyle Advice Flashcards

1
Q

How much folic acid should a women take pre-conception

A

400mcg/day

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2
Q

How much folic acid should a women take pre-conception

A

400mcg/day

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3
Q

Until what week should women take folic acid

A

12W

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4
Q

What can folic acid deficiency cause

A

Neural tube defects

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5
Q

What are 6 risk groups that require a higher dose of folic acid

A

BAD CATS

BMI >30 
Anti-epileptic medication 
Diabetic 
Coeliac disease 
And don't forget previous NTD or FH  
Thalasemia
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6
Q

what is a higher dose folic acid given to at risk groups

A

5mg/day

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7
Q

what dose is vitamin D is given

A

10mcg

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8
Q

what is vitamin D given as part of

A

Can be given as part of healthy start multi-vitamin tablet

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9
Q

what are 3 indications for vitamin D in pregnancy

A
  1. Obese
  2. Asian
  3. Malnutrition
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10
Q

should iron supplementation be given in pregnancy

A

Not routinely

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11
Q

explain vitamin A in pregnancy and what should be avoided

A

Vitamin A >700 is teratogenic. Avoid liver

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12
Q

what is the advice on alcohol during pregnancy

A

No alcohol consumption is safe - risk of foetal alcohol syndrome

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13
Q

what are the risks of smoking in pregnancy

A

IUGR

Pre-term delivery

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14
Q

what can be offered to help smoking cessation and what should not be offered

A

NRT. Do not offer bupropion or varencline

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15
Q

what food should a women avoid to avoid salmonella infection

A

Raw or partially cooked eggs and meat

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16
Q

what food should be avoided to prevent listeriosis

A
  • Soft cheese
  • Unpasteurised milk
  • Pate
  • Undercooked meats
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17
Q

explain air travel in singleton pregnancies

A

Should not travel >37W. If travelling at all use compression stockings due to increased risk VTE.

18
Q

explain air travel in multiple pregnancy

A

Should not travel >32W. If travelling at all use compression stockings due to increased risk VTE

19
Q

what anti-epileptic mediation is safe in pregnancy

A

Carbamezapine

20
Q

what is phenytoin during pregnancy associated with

A

Cleft palate

21
Q

what is sodium valproate during pregnancy associated with

A

NTD

22
Q

Until what week should women take folic acid

A

12W

23
Q

What can folic acid deficiency cause

A

Neural tube defects

24
Q

What are 6 risk groups that require a higher dose of folic acid

A
  • BMI >30
  • Coeliac disease
  • Anti-epileptics
  • Thalassemia
  • Diabetes
25
Q

what is a higher dose folic acid given to at risk groups

A

5mg/day

26
Q

what dose is vitamin D is given

A

10mcg

27
Q

what is vitamin D given as part of

A

Can be given as part of healthy start multi-vitamin tablet

28
Q

what are 3 indications for vitamin D in pregnancy

A
  1. Obese
  2. Asian
  3. Malnutrition
29
Q

should iron supplementation be given in pregnancy

A

Not routinely

30
Q

explain vitamin A in pregnancy and what should be avoided

A

Vitamin A >700 is teratogenic. Avoid liver

31
Q

what is the advice on alcohol during pregnancy

A

No alcohol consumption is safe - risk of foetal alcohol syndrome

32
Q

what are the risks of smoking in pregnancy

A

IUGR

Pre-term delivery

33
Q

what can be offered to help smoking cessation and what should not be offered

A

NRT. Do not offer bupropion or varencline

34
Q

what food should a women avoid to avoid salmonella infection

A

Raw or partially cooked eggs and meat

35
Q

what food should be avoided to prevent listeriosis

A
  • Soft cheese
  • Unpasteurised milk
  • Pate
  • Undercooked meats
36
Q

explain air travel in singleton pregnancies

A

Should not travel >37W. If travelling at all use compression stockings due to increased risk VTE.

37
Q

explain air travel in multiple pregnancy

A

Should not travel >32W. If travelling at all use compression stockings due to increased risk VTE

38
Q

what anti-epileptic mediation is safe in pregnancy

A

Carbamezapine- safest

Lamotrigine - more effective than carbamezapine and fewer SE.

39
Q

what is phenytoin during pregnancy associated with

A

Cleft palate

40
Q

what is sodium valproate during pregnancy associated with

A

NTD

Obstetrics (27 decks)

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