Natsumi Obstetrics Flashcards
Super bad period pain
Increased hCG >100,000
No fetal heart beats heard
Snowstorn appearance on uktrasound
Hydatidiform Moles = benign empty egg
Partial Mole
D&C
if develops into malignancy chemo
monitor patients hCG level after which should = 0
Can you administer MMR during pregnancy
NO!! After preggo
Rubella in mom can pass down to fetus - deafness, catacts, thrombocytopenia (m hepatomegalo, PDA
ELISA IgM that is 4X grater than IgG in acute infection
Blueberry muffin’ rash
Fetus Rubella
Vertical transmission leading to ??
neonatal sepsis, meningtisi, pneumonia, adn death
Should mothers be routinelhy screened afor GBS? Tx if positive?
YES! 35-37 weeks with vaginal and anorectal swabs for culture
Tx: Penicillin & Clindamycin
Toxoplasmosis affects on fetus
Investigation
Blindness, deafness, CNS calcification in basal ganglia, hydrocephalus, hepatosplenomegay
IgM, IgG serology
PCR amnionic fluid
Should you perform Placenta Previavaginal exam in ?
painless bright red vaginal bleeding, hemorrhage often stops spontaneous,
NO
SEND ER!
What to do with preterm labor?
Activate EMS, send to ED!
Post-partum Hemorrhage
loss of >500 mL of blood during the first 24 hours of postpartum
Tx: SEND ED
- Monitor vitals
- IV oxytocin
- Raise legs, keep patient warm
- Oxygen
Threatened and spontaneous sontaneous abortion
SEND TO ER
