Obsectrics (complicated)

Question 1

What medication is used in PIH?

Answer 1

Labetalol and nifedipine

Question 2

Name some of the complications of PIH

Answer 2

Decreased bllod fow to the placenta
Placental abruption
Intrauterine growth restriction
Organ injury
Premature delivery

Question 3

What is pre- eclampsia and what are some signs and symptoms associated with it?

Answer 3

It charaterised by high blood pressure and proteinuria after 20 weeks of gestation( 3rd trimester).
Sign and symptoms includes:
RIght upper quadrant pain
Headache + visual disturbance
Acute onset oedema e.g pedal edema
Hyper reflexia (brisk reflexes) and clonus

Question 4

What is the managment of eclampsia?

Answer 4

Emergency delivery of the baby

Question 5

How does GDM affect the fetus?

Answer 5

Large gestional age baby
Sholder dystocia
Stillbirth

Question 6

How does GDM affect the mother?

Answer 6

Increases risk of developing T2DM
Pre - eclampsia
Hypertension

Question 7

How is GDM diagnosed?

Answer 7

GTT ( Glocose tolerance test)

Question 8

What is the management of GDM?

Answer 8

1) BM monitering + diet advice
2) Metformin, insulin( if BM is noy controlled)
3) Regualar growth scans
4) Delivery by 40 weeks