Obs Gynae Flashcards
In Rhesus incompatibility - what does the R status of the mother have to be?
Positive
Treatment for rhesus positive mothers
Anti-D injections 28 weeks and birth
Complication in fetus of rhesus incompatibility
Neonatal haemolytic syndrome
3 risks of chicken pox infection in pregnancy
Increased risk of pneumonia in mothers
Fetal Varicella syndrome
Neontal varicella infection
Fetal varicella syndrome features
Microcephaly
LD
Short limbs
eye defects
Risk for neonatal varicella infection
Mother chicken pox infection + RASH
5/7 before birth
2/7 after birth
When can POP be given after birth
Any time.
After 21 days - additional contraception needed for 48 hours
When can COCP be given after birth,
21 days due to VTE risk
After 21 day 7/7 of additional contraception needed
Effectiveness of breast feeding contraceptions
98% if only breastfeeding (no bottles) for 6 weeks
Down syndrome combine screening test
Dates
Results
11 weeks - 13 weeks
Thickened nuchal line
increased B HCG
Decreased PAPPA
Ages and frequency of cervical smear
25-50 = every 3 years
50-64 every 5 years
HPV strains for Cervical Ca
HPV 16 and 18
When to recall for smear if inadequate result
First -> recall in 3 months
2nd -> colposcopy
When to recall if HPV positive and abnormal cells
Direct referral for colposcopy
When to refer for HPV positive with normal cells
Recall in 12 months
After 3 consecutive HPV positive then colposcopy
