OB Flashcards
Regular and NPH action onset
Regular 30-60 mins, NPH 1-3 hrs
How long should patient wait for pregnancy for MMR
4 weeks
Vertical transmission for Hep C
5%
with HIV 10%
Risk of vertical transmission for HIV
25% risk
<1% with optimal management
How to reduce risk of HIV in pregnancy
Antiviral medications - combination of 2 highly active anti retroviral HAART
from 2 classes
Delivery for HIV pregnancy
Undetectable - okay to proceed with vaginal delivery
Low but <1000, timing of delivery normal
If greater than 1000, Zidovudine 3 hrs prior to delivery, C-section at 38 weeks
3 a, b, c perineal laceration
a < 50 % external sphincter
b >50 % external sphincter
c external sphincter and internal sphincter
Breakdown of 3rd or 4th degree
Primary repair if no infection, or compromised tissue. No worsening of laceration
CHTN delivery times
well controlled no meds 38w0d to 39w6d
Well controlled on medications 37w0d to 39w6d
Poorly controlled 36w0d to 37w6d
GDM delivery times
A1- 39w0d to 40w6d
A2 39w0d to 39w6d
Poorly controlled individualized 37w0d-38w6d
If inpatient and not able to gain control 34w0d to 36w0d
What is SVT
Narrow complex tachycardia, reentry in the AV node
Mo-Di twins when do you start screening for TTS
Start at 16 weeks, q 2 week US
Fetal echo at 18-22 weeks
Risk of TTS for Mo-Di twins
Mortality if not treated
10-15% risk of TTS
If not treated 50-100% mortality
Magnesium dose no IV
10 g, (5 g IM in each buttock). Followed by 5 g every 4 hrs.
Betamethasone dose
12.5 mg q 24 hr x2
