MATERNAL HEALTH Flashcards
most common organism cause of infection/wound deheiscence after episiotomy
Group A strep
when can copper coil be inserted as emergency contraception?
five days post UPSI on current cycle or 5 days after ovulation
high risk for neural tube defect - folic acid supplementation how?
5mg daily up to 12 weeks
high risk group for neural tube defects
malabsorption/chrons, BMI more than 30, taking anti-epileptic, family and personal history of neural tube
non medication management of N+V in pregnancy
ginger, accupressure and accupunture
What is the first line MOST appropriate antihypertensive agent in the post-natal period for white person?
Enalapril
What is the first line MOST appropriate antihypertensive agent in the post-natal period for afro-carribean?
Nifedipine
Antihypertensive assoicated with post-natal depression
Methyldopa - should be stopped 2 days before birth
Treatment for bacterial vaginosis on pregnant women
Metronidazole 400 mg twice-daily for 5–7 days
What day of menstrual cycle makes COCP need another form of contraception
Day 6 or later
Medication that can cause oligospermia
Sulfasalazine
Which one of the following mood stabilising drugs is MOST likely to be associated with congenital abnormalities?
Sodium valproate
Window for levonorgestrel after UPSI
72 hours
When can IUD inserted as emergency contraception
It can be inserted up to five days after the first episode of unprotected sexual intercourse (UPSI). If the timing of ovulation can be estimated, insertion can be beyond five days of UPSI, as long as it does not occur beyond five days after ovulation.
According to the Civil Aviation Authority (CAA) what is the gestation at which most airlines no longer permit flying?
36 weeks
Contraception given to patients with epilepsy
Contraceptive injectable (can also give IUD or IUS)
IUD inserted after age 40, when can it be removed
can remain in situ until one year after the last menstrual period (LMP) if it occurs when the woman is 50 or older. If a woman is under 50, the IUD can remain in situ for two years after the LMP.
The recommended vaccines in pregnancy (in the United Kingdom)
influenza, pertussis, and Covid-19
When can influenza be given at gestational age
Any gestational age
When can pertussis be given as vaccine for pregnant women
18-20 weeks
continuous machine-like murmur that is maximally heard under her left clavicle, diagnosis?
Patent ductus arteriosus (PDA)
progestogen only implant primary mode of action
prevention of ovulation
pregnancy can be terminated in the UK until what age of gestation
24 weeks
You see a 28-year-old who has recently had emergency contraception in the form of ulipristal acetate. She is asking for advice on when she can start her regular combined oral contraceptive pill.
Regular hormonal contraception can be started 5 days after ulipristal acetate
First line of treating gestational hypertension
Labetalol
When are anomaly scans done
18–20 weeks of gestation
injectable progestogen main risk for wome age 50, so avoid, why?
decrease bone density
one risk factor for pre-eclampsia
first pregnancy or first pregnancy with a new partner
when can aciclovir be given for chickenpox in pregnnacy
within 24 hours of onset of rash and 20 weeks gestation or later
refer to foetal medicine for chicken pox when
16-20 weeks age of gestation or 5 weeks after infection
Which is the SINGLE MOST likely outcome associated with intermittent rather than daily oral iron supplementation during pregnancy?
Fewer maternal side effects
patient on rifampicin and rifabutinin on COCP, how long should additional contraception be used
duration of abx + further 4 weeks
When can LNG IUD be isnerted after delivery
48 hours after delivery or 4 weeks post partum if not breastfeeding and 3 months if breastfeeding (risk o futerine perforation)
LNG IUS licence for how many years
8 years
Down syndrome screening is ideally done either from
11–14 weeks or 15–20 weeks gestation
Which ONE of the following may be associated with the maternal use of potent or very potent topical steroids in pregnancy?
Low birth weight
What is the recommended time interval at which the semen analysis should be repeated?
Three months
LNG IUS can be removed at what age
55 - natural fertility can be assumed
progestogen only pill - late taking pill offers still protection if late how many hours
no more than 3 hours, 12 hours for desogestrel
first line for constipation in pregnancy
isuphaga or bulk-forming laxatives
tests can be done to screen for down syndrome
Quadruple test (hCG, Inhibin-A, unconjugated oestriol and alpha fetoprotein)
Which ONE of the following groups of women is at greatest risk of inadequate vitamin D stores during pregnancy?
Women with a pre-pregnancy body mass index greater than 30 kg/m2
delay for conception after vaccination with rubella
one month
thrush pregnant woman, mangamenr
clotrimazole pessary without applicator
most common abnormality associated with infertility in men
Varicocele
What is the most common adverse effect of the progesterone-only implant?
Irregular bleeding
UK antenatal screening programme for haemoglobinopathies at what age of gestation should be performed
Screening should ideally take place by 10 weeks gestation
which is the SINGLE MOST appropriate DIAGNOSTIC test for endometriosis
Laparoscopy
when should emergency contraception be considered for those taking COCP and missed a pill
if UPSI on pill free interval or first week
flu-like illness, which medication to offer pregnant women
oseltamivir
National guidelines currently recommend some supplements in pregnancy which are? 2 answers
Folic acid and vitamin D
When can women retain IUS until 55
If it had been inserted from 45 years old
Limit for flying for multiple pregnancy (age of gestation)
32 weeks
Woman on HRT now requiring contraception , she is 50. What to give and what to avoid
Progestogen options are safe but avoid injectables as it reduces bone density. Give 52mcg LNG IUD for 5 years with oestrogen only HRT
