Obs - Medical Conditions During Pregnancy Flashcards by Anna Brown

features of VZV?

fever
itch
malaise
lesions on MM
macules -> fluid filled vesicles -> scab

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Tx for pregnant women who have VZV?

VZIg + aciclovir given to babies if infected at birth

VZIg given in early pregnancy

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complications of VZV?

pneumonia
hepatitis
encephalitis
meningitis
shingles

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if exposed to VZV <20wks, what can baby get?

fetal varicella syndrome

skin scarring
neuro probs
hypoplastic limbs
eye defects

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when can pregnant women with VZV be given acyclovir?

if rash has developed within 24wks and >20wks

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what is done if a pregnant women thinks she has been in contact with someone with VZV?

> 15 mins contact
IgG checked
VZIG as prophylaxis

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features of zika?

asymptomatic
fever
rash
athralgia
guillan barre

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how is zika transmitted?

mosquitoes

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what can zika virus do to babies?

brain abnormalities
eye abnormalities
microcephaly
miscarriage

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what is CMV?

infection that has lifelong latency and can reactivate

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features of CMV?

fever
lymphadenopathy
fatigue
aching muscles

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what can CMV do to the fetus?

neuro abnormalities
microcephaly
IUGR
learning difficulties
blindness

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Ix for CMV and results?

FBC (high WCC)

CMV IgM

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features of covid?

fever
dry cough
SOB
loss of taste/smell
fatigue

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Ix for covid?

swab and PCR
ABG
FBC, U+Es, LFTs, coag, CRP
BM
CXR

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Tx for covid?

symptomatic
oxygen
steroids
CPAP

what is GBS?

gram positive (purple) streptococci

features of GBS in babies?

noisy breathing 
sleepy
not feeding well
temperature
blotchy skin

prophylaxis for GBS during birth?

IV benzylpenicillin

what are risk factors for GBS?

prematurity
Hx
premature membrane rupture (>24hrs)
high temperature during labour

what is the risk if mum gets parovirus B19?

anaemia
heart failure
hydrops fealis

what is rubella?

german measles

features of rubella?

maculopapular rash (hands then spreads)
fever
malaise

risks to fetus if mum gets rubella?

miscarriage (1st trim)

features of congenital rubella syndrome?

SN hearing loss congenital heart disease cataracts

should those with HIV breastfeed?

no (unless undetectable viral load)

when does thyroid disease worsen during pregnancy?

first trimester

what is given from 36wks to those taking carbemazepine/phenytoin?

Vit K

how much and for how long should folic acid be taken?

5mg 12wks before throughout if epileptic

when does cholestastis often happen during pregnancy?

second trimester

how does cholestasis present?

itch on palms and soles

Tx for cholestasis?

urseodeoxycholic acid LFTs checked Vit K pre/post birth

what is acute fatty liver of pregnancy? features?

fat deposition after 30wks abdo pain headache jaundice N+V

Ix for acute fatty liver of pregnancy?

LFTs U+E BM (low) coag

Tx for acute fatty liver of pregnancy?

EMERGENCY stabilise liver/renal failure risk delivery baby

if a pregnant women has 2++ at screening, what is the Tx?

nitrofurantoin | 3rd trim - trimethoprim

Tx for pyelonephritis during pregnancy?

co amox

what is prurigo? features? Tx?

itch >35wks papules on abdomen and legs resolves after birth

affected rates of AD Xlinked rec AR?

AD = 50% X linked = mother 50% carrier daughter, 50% sons AR = 25% affected, 50% carrier