Obsetrics (uncomplicated) Flashcards
How many weeks is weeks is full term?
40 weeks
What risk are linked to smoking?
1) MIscarriage
2) Premature birth
3) low birth weight
4) SID
5) Still birth
How much folic acid is a lady who is trying to conceive take?
400 mcg daily
However if you have diabetes, epilespy or obesity is 5mg daily
What are some foods when who are pregnant should avoid?
1) Unpasteurised cheese or milk ( blue cheese)
2) Raw eggs
3) Raw meat including cold cured meat e.g salami
What can raw meat cause in pregnant women?
It can cause toxoplasmosis and this can lead to miscarriage or congenital abnormalities
What are some investigations required for antenatal care?
BP
Height
Weight
Urinalysis
Folic acid supplementation
education on antenatal
Diet and lifestyle advice
How many visits does a nulliparous women carry out for antenatal appointment (uncomplicated)?
10 visits
How many visits does a parous women carry out for antenatal appointment (uncomplicated)?
7 visits
What will be part of the blood test of for antenatal investigations?
Basline FBC
Blood group
Rhesus
Infection diseases( HIV, syphilis, hepatitis)
How many days after conception is HCG visible after a blood test?
11 days
Name some symptoms a pregnant woman may present with
Difficulty breathing
Heel and foot pain
Cervical dorsalgia
lower back pain
Allergies
Sinus problems
Neck pain and stiffness
Arm pain and numbness
Why are pregnant women prone to getting heartburn more than usual?
This is becasue the sphincter of the oesphagus is relaxed in increases the chances of heartburn and dyspepsia.
Name some changes that a pregnant person would experience in their body
Skin changes
Breast gets fuller and heavier
Urinary frequency
Slow digestion/ heartburn
Cardiac input increases( by about 40%)
What are the 3 stages of labour?
1st-Cervix 4cm dialted and regular dilations till 10 cm
2nd- Full dialted - delivery
Passive 2nd stage - fully- pushing
active 2nd stage-active pushing delivery of baby
3rd -Delivery of baby + placenta
What are the 3 modes of delivery for preganancy?
Normal vaginal delivery
Assisted/ instrumental delivery ( ventouse or forceps)
Caesarean section
What is episiotomy?
A cut that is made to facilitate and help the delivery of the head of the baby. It prevents the perineal tears extending down to the anal sphincter.
What is the benefits of breast feeding?
1)Strengthen the immunity of the baby because of the passing down of immunoglobin A
2) Reduces the risk of CV disease, ovarian and breast cancer
3) Strengthen the bond between mother and baby
What is the management for rhesus negative mum and rhesus postive baby?
Prophaylactic anti D at 28 and 34/40 and additionally if any antenatal bleed
