Obstetric Emergencies

Question 0

How common is shoulder dystocia?

Answer 0

1:200 deliveries

Question 1

How much blood is lost to classify a PPH?

Answer 1

500mls

Question 2

What are the risk factors?

Answer 2

Foetal macrosomia - diabetes
Maternal obesity
Prolonged labour
Oxytocin

Question 3

What are the complications of shoulder dystocia?

Answer 3

Brachial plexus injury
PPH
Foetal hypoxia injury

Question 4

Define eclampsia

Answer 4

Hypertension above 140/90
Proteinuria
Seizures

Question 5

What happens to the blood pressure after the seizure?

Answer 5

It temporarily drops

Question 6

What percentage of eclampsia occurs after delivery?

Answer 6

45%

Question 7

What investigations should be done to monitor preeclampsia?

Answer 7

Blood presssure
Urinalysis
U&E
LFT
Clotting

Question 8

First step in the management of eclampsia?

Answer 8

Position patient in the left lateral
Secure airway
Give O2

Question 9

What drug is used to treat
1) seizures
2) hypertension
In eclampsia?

Answer 9

1) mg sulphate

2) labetalol

Question 10

What is the definitive treatment of eclampsia?

Answer 10

Delivery of placenta

Question 11

What other conditions are associated with eclampsia?

Answer 11

Haemolysis
HELLP
DIC
Renal failure 
ARDS

Question 12

What is the chance of preeclampsia recurring in the next pregnancy?

Answer 12

15-25 %

But up to 50 if it was severe enough to deliver baby under 28 weeks