Obstetrics Flashcards
From when can gestational hypertension be diagnosed?
> 20 weeks
What is the difference between GH and pre-eclampsia?
Pre-E presents with proteinuria
What investigation results would cause for a diagnosis of gestational diabetes?
Fasting glucose >5.6
2 hour glucose >7.8
What is the indication for a membrane sweep?
If the amniotic sac has not ruptured.
What is a key symptom of obstetric cholestasis?
Itchy.
What is the most common cause of post-partum haemorrhage?
Uterine atony
What advice should be given to a patient on methotrexate who wishes to conceive?
Male + female - stop 6 months prior.
What should be done in a patient with placenta praevia that’s been confirmed antenatally?
What should they also be advised for home-life?
Elective c-section at 38 weeks.
No intercourse.
How does placenta praevia typically present?
Soft uterus with no tenderness.
Often abnormal foetal lie
The level of shock is equal to the amount of blood lost.
What is placenta praevia?
Placenta is low in the cervix (bottom 1/3) which can cover the uterus and prevent proper birth.
What is placental abruption?
Part of the placenta separates from the uterus.
How does placental abruption typically present?
One episode of large blood loss Constant pain Contractions Hard, tender and enlarged uterus "Woody" uterus Normal lie but possibly distressed foetus
What is the presentation of shoulder dystocia?
Anterior shoulder lying behind the pubic symphysis.
Turtle sign.
Cord compression can occur is pelvis constricts chest - leads to acidosis and asphyxiation after about 4 minutes.
How is shoulder dystocia treated?
McRobert’s
Press hard on suprapubic region.
What is the most common cause of Post-partum haemorrhage?
Uterine atony
