Obs and Gynae Flashcards
Name 2 tocolytics
indomethacin - prostaglandin synthesis inhibitor
nifedipine - CCB
what is antepartum haemorrhage
bleeding after 24wks
Name some blood tests offered at first visit
FBC
Blood group / rhesus
rubella, syphilis, HIV, hep B
blood glucose
Multiple partners what additional tests
STIs - eg chlamydia
Increased nuchal translucency could be ?
downs
cardiac/other structural abnormalities
triple test for downs?
HCG - increased
AFP / unconjugated oestriol - decreased
gestational diabetes, why do you get big babies
increase in blood glucose -> hyper insulin
-> increased fat deposition
post gest diabetes what 2 things should you tell pt
increased risk of diabetes
increased risk of subsequent gestational diabetes
post partum psychosis vs depression timeframe ?\
What medical Dx should be considered with depressive Sx post partum?
psychosis <2weeks (usually 3-5 days)
depression - <3months
Post partum thyroiditis
simple method of monitoring for Mg toxicity if given in eclampsia?
check reflexes
bar BP and proteinuria 2 signs of pre eclampsia
brisk reflex
clonus
oedema
[epigastric pain, visual disturbance, headache, N+V]
Preterm, prolonged ROM -
2 drugs you’d give
erythromycin
betamethasone / dexamesasone
name 3 parts of bishops score
cervical dilation station of fetal head position of cervix effacement of cervix consisitenty of cervix
pregnant complains of itching
2 key blood tests
bile salts
LFTs
obstetric chloestasis Comps?
Mx?
premature delivery
still birth
sleep deprevation of mother
ursodeoxycholic acid, antihistamines
