obs and gynae Flashcards
when do you start contraception after taking levonorgestrel emergency pill
can start it immediately after
up to what week in pregnancy is considered a miscarriage
up to 24 weeks
what marks the end of the first stage of labour
cervix dilated to 10cm
what is the most common cause of postpartum pyrexia
endometritis
first line menorrhagia
IUS
tx of baby losing >10% weight in first week of life
refer to midwife led breastfeeding clinic
fluids given in hyperemesis gravidarum?
saline + potassium as hypokalaemia is common
rf for perineal tears
primigravida
large babies
precipitant labour
shoulder dystocia
forceps delivery
which form of HRT does not increase the risk of VTE
transdermal HRT
most common cause of early onset neonatal sepsis
group B strep
what consideration is important before prescribing metocloperamide for hyperemesis gravidartum
avoid use for more than 5 days as risk of acute dystonia
ie extrapyramidal side effects
HB cut off for post partum females
<100g/L
first line medical mx of infertility in PCOS
clomifene
metformin is second line !!
combined test for downs syndrome
nuchal transparency
beta HCG
PAPPA
quadruple test for downs syndrome
AFP
unconjugated oestriol
human chorionic gonadotrophin
inhibin A
moderate RF for pre-eclampsia
first pregnancy
age 40 years or older
pregnancy interval of more than 10 years
body mass index (BMI) of 35 kg/m² or more at first visit
family history of pre-eclampsia
multiple pregnancy
high RF for pre-eclampsia
hypertensive disease in a previous pregnancy
chronic kidney disease
autoimmune disease, such as systemic lupus erythematosus or antiphospholipid syndrome
type 1 or type 2 diabetes
chronic hypertension
when should a pregnant lady be prescribed aspirin for pre-eclampsia risk reduction
if >1 high risk factors
>2 moderate RF
in labour, when can an external cephalic version be attempted?
if the amniotic sac hasnt ruptured and isnt in active labour (>4cm dilated)