Medical Complications in Pregnancy Flashcards

1
Q

when is breathlessness in pregnancy not normal?

A

should not limit normal activities

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2
Q

management of asthma during pregnancy/ labour

A

vaginal birth
acute asthma uncommon during labour due to release of endogenous steroids
IV hydrocortisone

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3
Q

diagnosis of DVT

A

duplex USS

MRI venography

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4
Q

diagnosis of PE

A

CTPA does radiate mother’s breast and baby but more accurate

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5
Q

presentation of APLS

A
arterial/ venous thrombosis
recurrent pregnancy loss
placental abruption
early onset pre-eclampsia (PET)
early onset foetal growth restriction (FGR)
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6
Q

antibodies in APLS

A

IgM/ IgG aCL and LA

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7
Q

management of APLS

A

aspirin + LMWH

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8
Q

risks from maternal seizure

A
FMH
premature pre-ruptured membrane
preterm
foetal hypoxia/ acidosis
congenital malformation
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9
Q

management of intra-partum seizure

A

BZDs if epileptic

if no history of seizures given magnesium sulphate (eclampsia)

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10
Q

what is obstetric cholestasis

A

disorder of the liver in pregnancy that causes build-up of bile acids in the body

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11
Q

presentation of obstetric cholestasis

A

itch without rash

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