Infections in pregnancy

Question 1

Risk associated with bacterial vaginosis in pregnancy?

Answer 1

Pre-term birth

Question 2

Routine antenatal screening is carried out for which STIs? (2)

Answer 2

HIV and Hep B

Question 3

Risks of genital herpes infection in pregnancy? (3)

Answer 3

IUGR
Transmission at delivery
Pre-term labour

Question 4

Management of primary genital herpes occuring after 28 weeks?

Answer 4

C-section

Question 5

Risks of group B strep? (3)

Answer 5

Neonatal septicaemia, pneumonia, meningitis

Question 6

In what situations would intra-partum antibiotics be offered for GBS? (6)

Answer 6

Pre-term labour (37 weeks)
Prolonged or premature rupture of membranes
GBS +ve urine in pregnancy
Intra-partum pyrexia
Previous baby been affected by GBS
Incidental +ve swab

Question 7

Risks of chlamydia infection in pregnancy? (4)

Answer 7

IUGR
Preterm labour
Neonatal opthalmic/lung infection
Post-natal uterine infection

Question 8

When does vertical transmission of hepatitis B occur?

Answer 8

During labour

Question 9

Management of neonatal Hep B?

Answer 9

Vaccination within 24hrs of delivery, followed by 1 month, then as part of the routine childhood schedule

Question 10

Interventions to prevent mother to child transmission of HIV? (3)

Answer 10

anti retrovirals
avoidance of breastfeeding
management of delivery (depending on viral load)

Question 11

When is whooping cough vaccine offered?

Answer 11

28-38 week to provide passive immunity to baby