Large For Dates

Question 1

Aetiology of large for dates?

Answer 1

Wrong dates
Fetal macrosomnia
Polyhydramnios 
Diabetes
Multiple pregnancy

Question 2

Whoa is polyhydramnios?

Answer 2

Excess amniotic fluid in amniotic sac

Question 3

Aetiology of polyhydramnios?

Answer 3

Maternal diabetes 
Fetal anomaly 
Monochorionic twin pregnancy
Hydrops fetalis 
Idiopathic

Question 4

What is a Monochorionic twin pregnancy?

Answer 4

When twins share the same placenta

Question 5

What is hydrops fetalis?

Answer 5

Accumulation of fluid in two or more fetal compartments

Question 6

Clinical features of polyhydramnios?

Answer 6

Abdo discomfort
Prelabour rupture of membranes
Preterm labour
Cord prolapse

Question 7

Investigations of polyhydramnios ?

Answer 7

OGTT
Serology
Antibody screen
ISS-fetal survey

Question 8

Management of polyhydramnios?

Answer 8

Serial USS

IOL by 40 weeks

Question 9

Complications to fetus of multiple pregnancy?

Answer 9

Higher perinatal mortality 
Congenital anomalies
IUD
Preterm birth
Growth restriction 
Cerebral palsy
Twin to twin transfusion

Question 10

Complications to mother in multiple pregnancy?

Answer 10

Hyperemesis gravidarum
Anaemia
PET
Antepartum haemorrhage 
Preterm labour
C section

Question 11

If mother has T1DM or T2DM what precautions should be taken?

Answer 11

Folic acid 5mg
Low dose aspirin
Fetal anomaly scan at 18 weeks
Growth scans 4 weekly from 28 weeks

Question 12

Complications of diabetes in pregnancy?

Answer 12

PET 
Polyhydramnios 
Macrosomnia
Shoulder dystocia
Neonatal hypoglycaemia

Question 13

Risk factors for GDM?

Answer 13

Previous GDM
BMI >30
Family history - 1st degree relative 
Ethnicity
Previous bug baby
Polyhydramnios
Glycosuria