Obs Flashcards
What does RCOG define as RFM?
Less 10 movements within 2 hours (inpregnancies past 28 weeks gestation)
What medication is useful in umbilical cord prolapse?
Tocolytics - these reduce uterine contractions
Give an example of a tocolytic given in umbilical cord prolapse
Terbutaline
What are vaginal prostaglandins useful for in labour?
Induce labour
What is the recurrence rate of postnatal psychocsis?
25-50%
First line for premature rupture of membranes?
Careful speculum to look for pooling of amniotic fluid in posterior vaginal vault
When are steroids helpful?
Before 36 weeks
Hep B and HIV breast feeding?
-Hep B cannot be transmitted via breastfeeding
-HIV can be transmitted via breastfeeding
Risk factors pre-eclampsia?
-Aged 40 years or older
-Nulliparity
-Pregnancy interval >10 years
-Previous history preeclampsia
-BMI 30
-Pre-existing vascular disease
-Pre-existing renal disease
-Multiple pregnancy
what steriod is used in preterm rupture of membranes?
Dexamethasone
Venous thromboembolism in pregnancy risk factors?
-Age >35
-BMI>30
-Parity >3
-Smoker
-Gross varicose veins
-Pre-eclampsia
-Immobility
-Family history of unprovoked VTE
-Low risk thrombophilia
-Multiple pregnancy
-IVF pregnancy
Management women with previous VTE history?
Start LWMH until 6 weeks post natal
Women with 4 VTE risk factors?
Start LWMH until 6 weeks post natal
women with 3 VTE risk factors?
Start LWMH 28 weeks until 6 weeks post natal
DOAC and warfarin in pregnancy?
AVOID
Diagnosis of DVT shortly before delivery?
anticoagulation for at least 3 months
Time of diagnosis gestational diabtes >7mmol/l ?
Start insulin
If plasma fglucose level between 6-6.9 mmol/l and there is eveidence of complicatiosn suhc as macrosomia or hydramnios how should you manage?
Offer insulin
What is downs syndrome siggested by?
-Increase HCG, decrease PAPPA-A and thickend nuchal translucency
1st stage of labour
-Latent phase- 0-3 cm
-Active phase - 3-10cm
when should Cat 2 C section occur?
wihtin 75 minutes
Why must aspirin be avoided in breastfeeding?
Aspirin can cause Reyes syndrome
Initial booking visit midwife?
8-12 weeks
external cephalic version if baby breech ?
36 weeks
Down syndrome where nuchal scannign is available?
11-13+6 weeks
