gynae last Flashcards
2 things that are increased in downs
beta bcg and nuchal translucence
discussion about whooping cough vaccine
28 weeks
how does anti D work
removes the rhesus positive blood cells of the mother before antibodies are formed
monochorionic means
same placenta
chorionicty is determined by
US
what twins at are higher risk
monochorionic- due to risk of twin to twin sydnrome
monochorionic has what sign
T
mx of twin to twin transfusion syndrome
before 26 weeks- fetoscopic laser ablation
after 26 - amnioreduction/septostomy
twin deliveries
dicohorionic - 37-38
monochorionic - 36
triplets need to have
c section
bottom emerges frist in what
frank
term preg is considered between
37-42
prolonged pregnacny offered induction of labour at
41-42
what artery decreases its resistance in fetal hypoxia
middle cerebral so will show an increase in peak systolic volume in fetuses with anaemia
- umbillical artery increases its resistance
leading direct cause of maternal mortality
VTE
leading cause of death in women in first year post birth
suicide
still birth if after how many weeks
28
neonatal mortailty refers to death of baby within
first 28 days of life
difference between pregnancy induced hypertension and gestational hypertension
pregnancy induced - if below 20 weeks and gestational hypertension is after 20 weeks
steriod given for surfactant if gestation is below what and has pre eclampsia
34
avoid pregnancy if hba1c is above
86
gestational diabetes values
Fasting >=5.1 mmol/l
2 hour >=8.5 mmol/l
drug that can especially casue pre term pre labour rupture of membranes
cocaine
In premature pre rupture of membranes what can be seen
pooling of blood in posterior vaginal fornix
common first chocie antibiotic for chioramnionitis
erythromycin
what antibiotic should be avoided as it causes necrotising enterocolitis
co -amoxiclav
first line tocolytic
nifedipien
if antibodys are high suggesting fetal anemia in rhesus isoimmunisation what is done
middle cerebral artery peak velocity pressure
late sign of fetal anaemia
hydrops fetalis
in placental abruption, clinical shock that is out of proportion to the amount of visible blood could be
concealed placetnal abruption
what uterus can be seen in placental abruption
Couvelaire - appears blue - as blood appears between muscle fibres and the uterus doesnt contract well increasing the risk of PPH
CTG shows zigzag pattern
placental abruption
what is this? artifical rupture of membranes followed by dark bleeding, fetal bradycardia and death
vasa praevia
rf for vasa praevia
bilobed placenta or succenturiate lobes
constant abdo pain
uterine rupture
majority of women with CMV present as though got
glandualr fever
with parovirus infection in pregn we are worried about
hydrops fetalis
what si the rash like in parovirus
lacy rash
what does parovirsu rash spare
feets and palms
rubella associated with
polyarthritis and a facial vesicular rash
symptoms of rubella in newborn
sensorineual hearing loss, patent ductus arteriosus and glucaoma or cataracts
preg woman hs swollen leg and back pain
iliac vein thrombosis - consider MRI venography
when start giving LWMH for VTE in peg
as soon as clinical suspcion as should not be witheld until diangosisi
when do you give unfractionated heparin in preg
acute massive PE - collapsed shocked woman- due to its rapid onset of action
midface hypoplasia and shortened limbs can be due to what drug
warfarin
can you give heparin or warfarin breastfeeding
yes
asymmetrical intra uterine growth restricton due to defects i
placenta - pre eclampsia, malnutriition and chronic hypoxia
