Obs & Gynae Flashcards
What are the likely adverse effects associated with the implant?
Abnormal menstrual bleeding - sometimes managed by coprescription of the COCP
What is the investigation of choice for gestational diabetes?
Oral glucose tolerance test at 24-28 weeks
If a contraceptive patch change is delayed over 48hrs, what action should be taken?
Barrier protection for 7 days, reapply patch immediately and emergency contraception if sexually active within last 5 days or in the patch free interval
What is the regular dose of folic acid for women considering pregnancy?
0.4mg folic acid a day pre-conception and continue until 13 weeks.
Which risk factors require women considering pregnancy to take a higher dose of folic acid (5mg)?
Previous child with NTD
Diabetes mellitus
Women on antiepileptic
Obese (body mass index >30kg/m²)
HIV +ve taking co-trimoxazole
Sickle cell
What antibiotic is indicated for prophylaxis in pregnant women against group B strep?
Benzylpenicillin (pen G)
What is the window length for taking the POP?
3hrs
What are the antidepressants of choice in breastfeeding women?
Sertraline or paroxetine
What are the risk factors for hyperemesis gravidarum?
increased levels of beta-hCG eg multiple pregnancies or trophoblastic disease
nulliparity (first pregnancy)
obesity
family or personal history of NVP
Which pregnancies require anti D to be given?
Rhesus -ve women require anti D at 28 and 34 weeks
What is a threatened miscarriage?
painless vaginal bleeding typically around 6-9 weeks
What is a missed (delayed) miscarriage?
light vaginal bleeding and symptoms of pregnancy disappear
What is an inevitable miscarriage?
Complete or incomplete depending or whether all foetal and placental tissue has been expelled
What is an incomplete miscarriage?
Heavy bleeding and crampy, lower abdo pain.
What is a complete miscarriage?
little bleeding
If pregnant women report reduced foetal movement, what is the first line investigation?
Handheld doppler
How is gonnorhea treated?
IM ceftriaxone
How is chlamydia treated?
Oral doxycycline
How is BV and trichomonas vaginalis treated?
Oral metronidazole
How is vaginal candidiasis treated?
Clotrimazole cream
When should anti-D prophylaxis be offered in a medical termination of pregnancy?
If the women is rhesus D -ve and greater than 10+0 wks gestation
What is first line for urge incontenance?
Bladder retraining
What is first line for stress incontenence?
Pelvic floor training
What is second line for stress incontinence?
Duloxetine
