Obs & Gynae

Question 1

Define Parity

Answer 1

No. times given birth to alive/stillborn foetus with gestational age 24 weeks or more.

Question 2

Nulliparous & Multiparous mean what?

Answer 2

Nulliparous= No previous births regardless of outcome 
Multiparous= Given birth more than once

Question 3

Define Gravidity

Answer 3

Number of times a woman has been pregnant

Question 4

Primagravida & Multigravida mean what?

Answer 4

Primagravida= first pregnancy 
Multigravida= been pregnant more than once

Question 5

What is the difference between SGA and IUGR?

Answer 5

SGA only considers birth wt.- whether pre/post-natal <10th percentile
IUGR- clinical definition- neonate with clinical features of malnutrition and in-utero growth restriction (not birth wt.)

Question 6

What maternal factors might increase the risk of IUGR?

Answer 6

BMI<20 
Age <16 / >35
Prev SGA 
Parity 0 / >5
Inter-pregnancy interval <6mo / >2 yrs

Substance abuse
Infection e.g Malaria, TB, TORCH

Question 7

What are the two types of IUGR?

Answer 7

Symmetrical (earlier in preg.)

Asymmetrical (later in preg)

Question 8

Antenatal scan shows reduced: head circumference, abdo circumference, biparietal diameter and fetal length.
You suspect…?

Answer 8

Symmetrical IUGR

Question 9

What are the signs of Asymmetrical IUGR on antenatal / post-natal examination?

Answer 9

Asymmetrical IUGR
Antenatal: Reduced abdo circumference. Normal head/ parietall

Postnatal: Reduced weight. Normal length/head circumference.