GOSH Flashcards
drug RF for placental abruption
cocaine
urge incontinence med in elderly
mirabegron
PPROM raises risk of
chorioamniotitis
maternal pyrexia, maternal tachycardia, and fetal tachycardia
cases that should be referred to gynae
2ry dysmenorrhoea
mx child born to mother with hepB
first dose of hepatitis B vaccine soon after birth
0.5 millilitres of hepatitis B immunoglobulin within 12 hours of birth
second dose of hepatitis B vaccine at 1-2 months and at 6 months.
during delivery, oxytocin & prostoglandin are contraindicated in
foetal distress
methyldopa is contraindicated in
depression
common complication of hepatic
Fitz-Hugh-Curtis syndrome: RUQ pain following PID
Medical conditions that are risk factors for endometrial cancer include
T2DM // PCOS
Indomethacin at … weeks gestation is associated with the closure of ductus arteriosus and oligohydramnios. … is the agent of choice in this scenario and will typically be used to delay labour for 48 hours
> 32
Nifedipine
avoid this food in pregnancy
cooked liver - ++++vitA (ik lol)
most common side effects of POP
irregular bleeding –> breast tenderness
OGTT timing in BMI>30 or 1st relative DM
24-28
can i breastfeed my baby with hepatitis B?
yes
reduced foetal movements mx if >=28w
doppler –> USS
once heart beat is detected –> CTG 20mins
no need for contraception in post menopausal women if
> 2year if <50
1year if >50
incontinence:
- urinary dye studies used for
- urodynamic studies used for
- continuous dribbling, poor obstetric services, fistula suspected
- diagnostic uncertainty/plans for surgery
foetal pole at … weeks
foetal heart activity at … weeks
TV scan reveals IUP when bHCG exceeds
6
6-7
1500
retroplacental haemorrhage & apical placenta ==
placental abruption
ondansetron risk in 1st trimester
small increased risk of cleft palate/lip
layers cut through in c-sec
Superficial fascia
Deep fascia
Anterior rectus sheath
Rectus abdominis muscle (not cut, rather pushed laterally following incision of the linea alba)
Transversalis fascia
Extraperitoneal connective tissue
Peritoneum
Uterus
why is COCP CI in migraine w/ aura
+++ stroke
are 2ry care investigations required in vaginal bleeding/spotting within 3m of starting POP
No, so long as a pregnancy and sexually transmitted infections are excluded, there is an up-to-date smear and there are no symptoms suggesting another underlying disease
pregnant with HIV advice to ALL
formula feed
if taking rifampicin, what changes to POP regimen?
barrier methods during and for four weeks after cessation of treatment
when and what is used to monitor LMWH activity if given to pregnant women
peak anti-Xa activity
extremes of body weight (less than 50 kg and 90 kg or more) // with other complicating factors (for example, with renal impairment or recurrent VTE)
what is used to monitor unfractionated heparin activity
APTT
An ultrasound is indicated if lochia persists beyond
6 weeks
investigations if ovarian cancer suspected
serum CA-125, αFP and βHCG
functional hypothalamic amenorrhoea typically occurs secondary to causes of
low adipose tissue, such as anorexia or excessive exercise (low BMI)
persistent unresolved vulva/cervical lumps –>
2WW
timing of SSRIs for PMS
continuously or during the luteal phase
first line treatment for primary dysmenorrhoea
NSAIDS eg mefenamic acid
IUS effect on bleeding pattern
initially irregular –> light menses
latent stage labour pain killer
IM diamorphine
ovarian cyst vs ovarian torsion. more common?
cyst rupture more common
(pain could alleviate in cyst)
in PCOS refer to fertility when?
2 yrs UPSI
the most likely cause for abnormal vaginal bleeding in an adolescent
anovulatory bleed
Local anaesthetic infusion into the spinal canal for c-sec called
saddle block
smoking in pregnancy can cause
foetal lung issues // growth restrictions // stillbirth/miscarriage
syphilis tx in pen allergy
doxycycline
pruritic vaginitis, strawberry spots on the cervix, as well as a copious, frothy, malodorous discharge
TV
emergency contraception given in case an earlier UPSI in the same cycle could have resulted in implantation
EllaOne
what to use in preggos who don’t want insulin
Glibenclamide
GDM delivery options
GD + normal grown fetus - IOL (first line) at 38 weeks or c-section (if has indications)
GD + baby >95th centile (macrosomia) - IOL (first line) early at 34-37 weeks or offer elective c-section (at 38 weeks)
No GD + suspected macrosomia - Wait and watch (first line) and do not use IOL because most mothers with macrosomia deliver normally and successfully anyway
why co-amoxiclav avoided in pregnancy
NEC in baby
why no tetracyclines in pregnancy
neonatal tooth discolouration
chorioamnionitis abx choice
cefuroxime –> metronidazole
endometritis abx choice
co-amoxiclav (if pen. allergic: clindamycin & metronidazole)
foetal measurements used to calculate estimated foetal weight
HC (head circumference)
AC (abdominal circumference)
GL (femur length)
what test is done fro candida & BV
HVS
endometrial & cervical cancer staging
MRI
ovarian cancer staging
CT
common tx ovarian cancer
neoadjuvant chemo + interval debulking surgery
cervical cancer diagnosis
cone biopsy
