Mortality both perinatal and maternal Flashcards

1
Q

Define neonatal death

A

Death of a live baby before 28 days of age

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2
Q

Define early neonatal death

A

Death of a live baby before 7 days of age

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3
Q

Define stillbirth

A

baby delivered without signs of life after 24 weeks of pregnancy

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4
Q

Difference between stillbirth, neonatal death and perinatal death

A

Still birth is a death after 24 weeks gestation up to delivery, neonatal death is death of a live baby up to 28 days of age and perinatal death is still birth and neonatal death period

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5
Q

How do you calculate perinatal death rate

A

(still birth + neonatal deaths) / total births x1000

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6
Q

2 most common causes for neonatal death?

A

Immaturity and congenital abnormalities

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7
Q

What does maternal obesity predispose fetus to?

A

macrosomia, thromboembolism, gestational diabetes, preeclampsia, congenital anomaly, haemorrhage, wound infection post CS, pre term, low breast feeding rates

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8
Q

Confidential enquiry into maternal and child health

A

all deaths in pregnancy and babies 20 weeks to 1 years old

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9
Q

Confidential enquiry into maternal deaths

A

Obstetric complications, pre-existing disease causes, coincidental, late deaths, miscarriage

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10
Q

Most common direct cause of maternal death?

A

Venous thromboembolism

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11
Q

Most common indirect cause of maternal death?

A

Cardiac

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12
Q

What is the proper term for childbed fever

A

Puerperal sepsis

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13
Q

What is puerperium?

A

Period after delivery of about 6 weeks where the mothers reproductive organs return to normal size

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14
Q

Only official cure of preeclampsia?

A

Deliver the placenta

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15
Q

What is usual cause of death from preeclampsia?

A

Intracranial haemorrhage following uncontrolled systolic hypertension

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16
Q

What must be avoided in third stage of pregnancy if you have preeclampsia?

A

Syntometrine

17
Q

What is needed with ovarian hyperstimulation syndrome

A

thromboembolism prophylaxis

18
Q

What different forms can gestational trophoblastic neoplasia take?

A

Premalignant partial or complete mole or malignant chorioadenoma destruens (invasive mole) or the malignant form gestational chorioadenoma and placental site trophoblastic tumours

19
Q

Describe a complete hydatidiform mole?

A

swelling of the villous tissue, diffuse trophoblastic hyperplasia, no embryonic or fetal tissue

20
Q

Where does malignant GTN metastasise to?

A

lungs, liver, brain