obs Flashcards
what is the management of teh foetus born to a hep b positive mum
hep b ig g and hep b immunisation before 24 hrs of life
from which week the maternal corticosteroids are not given?
from 34th week onward
If there is risk of preterm birth and the woman is between 24 weeks and 34 weeks of gestation, antenatal corticosteroids should be offered to aid foetal lung maturation.
what is a complication of polyhydramnious
cord prolapse
when and what tests are done once a woman is diagnosed with severe pre eclampsia?
u &e, transaminase, FBC and bilirubin three times a week to check for HELLP syndrome
in a woman in intractable vomiting in the first trimester what is an additional medication that should be given
thiamine supplement IM for teh wernickes encephalopathy
which hormone is liked to reflux esophagitis during pregnancy
progesterone
what is the first line tocolytic agent?
nifedipine
if woman has not dilated more than 2 cm in 4 hrs what the first line of augmentation in multiparous and nulliparous
multiparous- amniotomy and reassess in 2 hrs and in nulliparous can use oxytocin plus amniotomy
what is the effect on child if a mother suffers from cmv infection during pregnancy
hearing loss, visual impairement and learning dificulty
which type of twin pregnancy carries the high risk of complication?
monoamniotic monochorionic twins they share the same amniotic sac and placenta so there is a risk of cord entanglement and twin to twin transfusion.
what are the absolute contraindications of ECV?
antepartum haemorrhage in the last 7 days, placenta previa
what are the indication of category 1 c-section
scalpt ph of less than 7.2 and cord prolapse… any situation where there is foetal compromise.
what is the management of the hyopthyroidism during pregnancy
you increase the dose by 25mcg and reassess after 4 weeks
what are the componenets that are assess to calculate the bishop score- effasement, station, hard or soft(consistency), opening(ilation), and position
less than 3 then cannot labour….also add a +1 point for previous pregnancy and substract 1 for post date delivery
what is the medical management of the medical termination of the pregnancy?
200 mg oral mifepristol followed by 800 mcg (or 600mcg miso sublingually) of vaginal misoprostol 36-48 hrs later…and then 400mcg of misprostol every 3 hrs until the products of conception are out
what is the a complication of cvs
limb anormality and misscarriage….also its only available between 11-13 weeks
what s the risk factor for polyhydramnios
oesophageal atresia, dm,Excess production can be due to increased foetal urination:
Maternal diabetes mellitus
Foetal renal disorders
Foetal anaemia
Twin-to-twin transfusion syndrome
Insufficient removal can be due to reduced foetal swallowing:
Oesophageal or duodenal atresia
Diaphragmatic hernia
Anencephaly
Chromosomal disorders
what does tutle neck sign imply
that there is shoulder distocia.Macrosomia refers to a birthweight of greater than 4kg. This is a recognised risk factor for shoulder dystocia and is commonly a result of uncontrolled maternal gestational diabetes.
what is the complication of twin to twin transfusion
oth donor and receipient twin are at risk of hydrops andheart failure. the donor is at risk of high out heart failure secondary to anaemia and recepient is at the risk of fluid overload…..however the donor is more likely to survive thant he receipient.
what is the management of iron defeiency anaemia in post partum woman?
try oral iron tablets and review in 2weeks .
is lithium safe in pregnancy ?
no ther is a risk of ebstein anamoly so NICE recommends to switch to an antipsychotic
what is the management of hyperemesis gravidarum in a patient who is unable to take oral intake?
prochlorperazine IM 12mg….first line is cyclizine or promethazine
during giving the spinal anaestheisia consent counselling what is important tos hare witht he patient?
that the affects wear off at 2 hrs so if there is a complication might require to give another one. the spinal anaesthesia is given in the subarachnoid space.
what is the management of symptomatic major placenta previa
admit the patient in the hospital from 34 th weeks to closely monitor
A foetus is born with chorioretinitis, hearing impairment and hydrocephalus. She is also suffering from frequent seizures. what is the most likely infection mum suffered from
toxoplasma gondi.Congenital syphilis commonly presents with keratitis, malformed teeth and sensorineural deafness.
which condition is associated with congenital hydrocephalous
materanl rubella …it causes the acqueductal stenosis
what is the success rate of ecv?
50%
