January Flashcards
What is the risk of haemorrhage requiring transfusion at benign abdominal hysterectomy?
2.3%
In haemophilia carriers, at what factor level should pharmacological prophylaxis be avoided?
< 0.6 units/ml
Babies born to women with epilepsy taking which drugs require vitamin K?
Enzyme inducers:
Phenytoin
Phenobarbital
Carbamazepine
Oxcarbazepine
Topiramate
What are the risk levels with short cervical length?
< 25mm before 28/40: 25%
< 20mm before 32/40: 42%
< 20mm before 34/40: 62%
What are the lifetime risks for hepatic adenoma?
27% haemorrhage
17% rupture & intraperitoneal bleed
5% malignant transformation
What is the risk of fetal malformations with anti-TNF drugs?
Similar to general population
BUT recommend stopping as can cause fetal immunosuppression
What birth plans should be made for SGA with umbilical artery AREDV?
CS at 32/40
What PPH prophylaxis should be given for a vaginal birth?
Oxytocin 10 units IM
What birth plans should be made for MCMA twins?
CS at 32-34/40
How is lidocaine stored/given?
1% : 10mg/ml
How should AKI be managed in PET?
Fluid restriction of 80ml/hr
In women who develop chicken pox in the 4 weeks prior to delivery, what is the risk of varicella infection of the newborn?
50%
In women who develop chicken pox in the last 4 weeks of pregnancy, what is the risk of neonatal infection?
50%
What is the male to female ratio of Antiphospholipid syndrome?
1:3.5-5
How much more common is coil perforation in breastfeeding women ?
6x
Which structures are divided during a mediolateral episiotomy?
- Vaginal epithelium
- Transverse perineal muscle
- Bulbocavernosus muscle
- Perineal skin
Which structure is divided during a midline episiotomy?
Central perineal tendon = perineal body
How is delayed puberty in girls defined?
Absence of breast development beyond 13 years old
What is the absolute risk reduction in RDS for steroids at 37-38+6?
3-7%
What is the risk of placenta praevia following 1 previous praevia?
2.3%
What is the most common major complication of gynae laparoscopic surgery?
Injury of urinary tract
What are the proven significant risk factors for developing endometrial polyps?
- Increasing age
- HRT
What is the lifetime risk of a woman needing surgery for an ovarian mass?
10%
